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There are a variety of forms you can download, complete and bring with you before your examination. Doing this will make your visit easier. If you don’t want to complete these forms beforehand, please plan on arriving at South County Imaging Center at least 20 minutes before your scheduled exam, unless pre-testing is required.

Our downloadable forms are:

HIPPA privacy notice

Patient registration

Signature Form

Healthcare questionnaires:

CT with IV contrast pre-exam questionnaire

MRI pre-exam questionnaire

12345 West Bend Drive, Suite 105 • St. Louis, MO 63128 • 314.270.3939 • Fax 314.270.3942