Weinstein Imaging Associates-Patient Forms


Save time at our office by printing out the appropriate forms below, filling them out, and bringing them with you for your appointment.

		Patient Information form — Please fill out if you are new to us or if you have not updated the form in the past 3 years
		Billing Policy notice — To be signed by ALL patients
		Fill out this form if you had a prior imaging study elsewhere that we may need for comparison
		Fill out this form if you are leaving our practice and need us to send imaging studies to another facility
For your information, here are a list of the insurance plans with which we participate and our privacy policy.

Select the test you will be having:


Mammogram	Pelvic Sonogram	Obstetric Sonogram


Thyroid Sonogram	Abdomen Sonogram	Kidney Sonogram


	Osteoporosis DXA Test