Please print and complete forms
Having this paperwork done ahead of time will greatly expedite your appointment time, and we all know how precious time is!  

Scan Preparation Checklist

PDF

Before your first consultation, please review the checklist below thoroughly. It provides the guidelines and necessary preparation steps to ensure the best possible scan for you.

Please print and sign the Checklist, and bring it with you to your appointment.

Download "Scan Preparation Checklist"

Required for Women's Health Check Scan
Women's Health Check
Required only For licensed Physicians
Doctor Referral Pad