Asheboro Imaging - Radiology Services

We have placed many of our medical forms here for your convenience. Before your appointment at Greensboro Imaging, you may download, print, and complete these forms.

Be sure to bring them, signed and ready, when you arrive for your appointment. Filling out these forms in the privacy of your home can save you time and effort when you arrive at our centers for your imaging procedure.

*You will need Acrobat Reader to download these forms.
If you do not have it, you may get a free download here.

All patients will need to fill out these forms

If you are having an MRI procedure

Patient registration
Notice of privacy practices
Receipt of privacy practice

MRI screening sheet

MRI brain history

MRI extremity history

MRI spine history

Vein treatments	CT (Cat) scan treatments
Patient venous history Pre procedure for VenaCure patients Post procedure for VenaCure patients Informed consent Endovascular consent	CT information sheet

Virtual colonoscopy treatment

Spine procedures

Virtual colonoscopy request
Waiver of liability

Informed consent

Policy regarding drivers

Post procedure spinal

Post procedure spine discogram