Compliance Statements Patient Forms
Please fill out the top two forms (*) and the form specific to your procedure. (Right click the document title to save it to your computer.)

Patient Information Form*
Patient Release Form*
IV Contrast Procedure Authorization (MRI/CT Only)
Possibly Pregnant: X-ray Consent Form
Bone Density Scan Registration
CT Registration
Fluoroscopy Registration
Mammogram Registration
MRI Registration
Nuclear Medicine Registration
Ultrasound Registration

CUSTOMER SATISFACTION SURVEY

 

To save the document to your computer right click the title and then select "save target as" from the drop down menu.

HIPAA (Health Insurance Portability and Accountability Act of 1996)

Medical Identity Theft Protection (Red Flag Rules)

                   Patients please Click Here to download forms to fill out before you visit.

 

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Valley Imaging Center is an all-in-one imaging and radiology resource serving Athens, Huntsville, Decatur, Madison and the entire Tennessee Valley by offering almost every imaging procedure a patient will ever need.

 

CT Scan (Computed Tomography)   |   MRI (Magnetic Resonating Image)   |      X-Ray   |    Mammogram    |    Calcium Scoring    |    Ultrasound   |   Bone Density    |    Nuclear Medicine   |   PICC Lines    |    Arthrograms    |    Foreign Body Removal

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