Patient Forms

To expedite your visit to High Desert Imaging, you can download and complete necessary forms in advance of your appointment and bring them with you for check-in. If you decide to complete required forms when you arrive to your appointment, please be sure to arrive 15 minutes early to give yourself time to complete them.

General patient forms

adobe_pdf_iconExam Notification Authorization

adobe_pdf_iconConsent for Treatment

adobe_pdf_iconHIPAA Privacy Notice

You may also view a summary of this form on our HIPAA Privacy page.

adobe_pdf_iconHIPAA Acknowledgement Form

adobe_pdf_iconMedical Release Form

adobe_pdf_iconMedical Notice for Diabetics


CT

adobe_pdf_iconConsent for CAT Scan


MRI

adobe_pdf_iconMRI Safety Questionnaire

adobe_pdf_iconMRI with Contrast Consent

adobe_pdf_iconMRI Pregnancy Consent


Ultrasound

adobe_pdf_iconConsent for Transvaginal US


Mammography

adobe_pdf_iconMammography Patient History

adobe_pdf_iconMammography Breast Implant Consent


DEXA

adobe_pdf_iconDEXA Screening

For questions about which forms you should bring with you to your appointment, please contact HDI at 775-621-5800.