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Patient Forms
NYU Radiology wants to do everything it can to make your visit as pleasant and seamless as possible.

To save time, you may download, print and fill out the appropriate forms at home, and bring them with you on the day of your appointment.

CT
If you are having a CT scan (all types of CT scans except for Dental), please print and fill out these forms.

If you are having a Dental CT scan, please print and fill out these forms.

 

Ultrasound and X-Ray Walk-Ins
If you are having an Ultrasound or are coming as a walk-in for X-Rays, please print and fill out these forms.

 

MRI
If you are having an MRI, please print and fill out these forms.

For form(s) specific to the type of MRI you are having, please review and select from the following list.

 

Breast Imaging Center at the NYU Clinical Cancer Center
For patients who are new to NYU Breast Imaging, please print and fill out this form.

 

Diagnostic Imaging Center at the NYU Clinical Cancer Center

If you are coming for a Bone Densitometry Screeening, please print and fill out this form.

If you are coming for a PET/CT, please print and fill out this form.

To learn more about PET/CT and how to prepare for your exam, please visit our Diagnostic Imaging Center at the NYU Clinical Cancer Center

 

All of these forms are in PDF format, which can be downloaded, opened and printed using Adobe Acrobat Reader. Most computers have this software installed already. If it is not already installed on your computer, you may download and install it for free by clicking here.