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Weill Cornell Imaging at NewYork-Presbyterian

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Exam Forms

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)

CT Safety Form 

If you are having a Cardiovascular CT (CT of the heart), please complete the Cardiovascular CT Form in addition to the general CT safety form.  

PDF icon Cardiovascular CT Form 

DEXA

DEXA Form

FLUOROSCOPY

Fluoroscopy Form

LUNG SCREENING

Lung Screening Form

MAGNETIC RESONANCE IMAGING (MRI)

MRI General 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.  

PDF icon MRI Breast Form 
PDF icon MRI Cardiovascular Form 
PDF icon MRI Gynecologic Form 
PDF icon MRI Prostate Form  

For a video overview of the MRI experience, please click here or visit the video library page. 

MAMMOGRAPHY

Mammography Form 
Breast Biopsy Form

POSITRON EMISSION TOMOGRAPHY/COMPUTED TOMOGRAPHY (PET/CT)

PET/CT Form

POSITRON EMISSION TOMOGRAPHY/MAGNETIC RESONANCE IMAGING (PET/MRI)

PET/MRI Form

ULTRASOUND

Ultrasound General Form 

If you are having a Gynecologic (Pelvic) Ultrasound exam, please complete the Ultrasound Gynecologic Form instead of the general form.   

PDF icon Ultrasound Gynecologic Form 

X-RAY

X-ray Form

Weill Cornell Imaging at NewYork-Presbyterian

1305 York Avenue, 3rd Floor
New York, NY 10021

1283 York Avenue, 7th Floor
New York, NY 10065

520 East 70th Street,
Starr Pavilion, Ground Floor

New York, NY 10021

425 East 61st Street, 9th Floor
New York, NY 10065

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Ground Floor

New York, NY 10038

416 East 55th Street
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