All forms should be completed in advance of your appointment. Please follow the links below to access the appropriate form required for your upcoming appointment. If you need assistance filling out the form, please contact our Access Center at (212) 746-6000.
If you are having a Cardiovascular CT (CT of the heart), please complete the CT Cardiovascular Form in addition to the general CT safety form.
If you are having a Breast, Cardiovascular (MRI of the heart), Gynecologic or Prostate MRI, please complete the appropriate specialized form in addition to the general MRI safety form.
If you are having a Gynecologic (Pelvic) Ultrasound exam, please complete the Ultrasound Gynecologic Form instead of the general form.
The above forms are also available in PDF. Please follow the appropriate link below to download, complete, and e-sign the PDF form(s) using Adobe® Acrobat® Reader. Email the completed form(s) as an attachment to firstname.lastname@example.org prior to your appointment. If you do not have Adobe, download it or visit adobe.com for more information.