Online Services

Patient Forms

To view the forms listed below, you will need Adobe Reader. You may download Adobe Reader for free at www.adobe.com. You may bring or mail your completed forms to the office at the time of your visit.

• Patient Registration Form
• Notice of Privacy Practices - HIPAA Compliance
• Financial Policy
• Authorization to release information
• Patient MRI and CT forms
  • MRI Screening Form
  • General Imaging Symptom Form
  • Head Imaging Symptom Form
  • Extremity Imaging Symptom Form
  • Spine Imaging Symptom Form
  • Consent for Contrast Injection
• Patient PET//CT forms
  • Consent for Contrast
  • Preparation for Diabetic Patients
  • Preparation for Non-Diabetic Patients

Patient Education Guides

The patient information brochures below are designed to guide you through your exam. Please feel free to ask our staff if you have any additional questions or concerns.

• CT
• Ultrasound
• MRI
• PET/CT
• Pain Management
• Interventional Radiology
• MammoEd: Digital Interactive Breast Imaging Education

Patient Satisfaction Survey

If you have been a patient at our Meridian Pavilion location, please give us your feedback by taking this short survey. Your comments are appreciated!

Scheduling Policy

You must have a referral from your doctor to have any imaging exam except for screening exams and selected interventional treatments. Please verify insurance regarding the need for pre-authorization for any medical procedure.

Meridian Pavilion
Scheduling phone number: (206) 306-1011

Via Vascular
Scheduling phone number: (206) 525-8346

Northwest Hospital & Medical Center, Department of Diagnostic Imaging
Scheduling phone number: (206) 368-2778

NW Outpatient Medical Center
Scheduling phone number: (206) 368-6050

Seattle Breast Center
Scheduling phone number: (206) 368-1749