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.
COMPUTED TOMOGRAPHY (CT)
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.
MAGNETIC RESONANCE IMAGING (MRI)
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.
MRI Breast Form
MRI Cardiovascular Form
MRI Gynecologic Form
MRI Prostate Form
Breast Biopsy Form
POSITRON EMISSION TOMOGRAPHY/COMPUTED TOMOGRAPHY (PET/CT)
POSITRON EMISSION TOMOGRAPHY/MAGNETIC RESONANCE IMAGING (PET/MRI)
If you are having a Gynecologic (Pelvic) Ultrasound exam, please complete the Ultrasound Gynecologic Form instead of the general form.