Fast Check-in

These are forms that would normally be filled out in the office upon arrival. If you prefer, you can fill them out prior to your visit, which will simplify your check-in. 

General Documents

• New Patient Questionnaire

  Please fill out only if you have never had an exam at Mountainview Medical Imaging before.

• Current Patient Update

  Please fill out only if you have had an exam at Mountainview Medical Imaging before.

• Financial Policy

  For everyone to review.

• Medical Information Request

  Please fill out if you have had previous imaging studies at another facility that we will need for comparison.

Medical Service Documents

• MRI Questionnaire

  Please fill out if you are having a MRI, MRA, MR Joint Arthrogram, or MRI breast biopsy

• Bone Density Questionnaire

  Please fill out if you are having a Bone Density Scan

• CT Scan Questionnaire

  Please fill out if you are having a CT with contrast, or a CTA

• Breast History Questionnaire

  Please fill out if you are having a mammogram

• Breast MRI Questionnaire

  Please fill out if you are having a breast MRI