Medical Forms
We have placed many of our medical forms here for your convenience. Before your appointment at Greensboro Imaging, you may wish to download, print and complete these forms.
Be sure to bring them with you when you arrive for your appointment. Filling out these forms in the privacy of your home can save you time and effort when you arrive at our centers for your imaging procedure.
All Patients
- Patient Registration (pdf)
- Notice of Privacy Practices (pdf)
- Receipt of Privacy Practices Notice (pdf)
- Patient Survey (pdf)
- Financial Policy (pdf)
CT Scan Patients
DXA Bone Density Patients
Interventional Radiology Patients
Mammogram Patients
MRI Patients
- MRI Screening Sheet (pdf)
- MRI Brain History (pdf)
- MRI Extremity History (pdf)
- MRI Spine History (pdf)
Spine Procedures
- Informed Consent (pdf)
- Policy Regarding Drivers (pdf)
- Spinal Post-Procedure Instructions (pdf)
- Spinal Discogram Post-Procedure Instructions (pdf)
- Spine Information Booklet (pdf)
Stereotactic Breast Biopsy Patients
Vein Treatment Patients
- Patient Venous History (pdf)
- Informed Consent (pdf)
- Endovascular Consent (pdf)
- Pre-Procedure Instructions (pdf)
- Post-Procedure Instructions (pdf)
- Varicose Vein Therapy FAQs (pdf)