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AUTHORIZATION FOR RELEASE OF MEDICAL INFORMATION I, ___ Date of Birth: ___ request the River Forest Advanced Imaging Center to release my MRI CT RAY ULTRASOUND which was performed on ___ at the River
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How to fill out advanced diagnostic imaging services

01
Obtain a referral from your healthcare provider for the specific advanced diagnostic imaging service needed.
02
Contact the medical imaging facility to schedule an appointment.
03
Arrive at the facility at least 15 minutes before your scheduled appointment time.
04
Bring any necessary identification, insurance information, and previous medical imaging records with you.
05
Complete any required paperwork or online forms prior to your imaging procedure.
06
Follow any preparation instructions provided by the facility, such as fasting before a CT scan or MRI.
07
During the imaging procedure, follow the instructions of the radiology technologist and remain still as needed.
08
After the imaging procedure, wait for the results to be interpreted by a radiologist and communicated to your healthcare provider.

Who needs advanced diagnostic imaging services?

01
Individuals with symptoms or conditions that require further investigation through advanced imaging techniques.
02
Patients who have received a referral from their healthcare provider for diagnostic imaging services.
03
Those undergoing cancer treatment, monitoring for chronic conditions, or assessing injuries or abnormalities.

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