Pre-registration paperwork can be completed prior to your appointment online.
Please print off and complete the appropriate forms for your exam and bring them to your appointment.
Registration and Billing Form (English)
Formulario de Registro del Paciente (Español)
Mammogram History (English)
Historia de Mamografía (Español)
Mammography History Form (Colorado)
3D Consent (English)
3D Consent (Epsañol)
Henda’s Consent – Texas Only (English)
Henda’s Consent – Texas Only (Epsañol)
HIPAA Acknowledgement (English)
HIPAA Acknowledgement (Epsañol)
HIPAA Acknowledgement – Colorado Only (English)
HIPAA Acknowledgement – Colorado Only (Epsañol)