Your care and safety is our top priority. We are diligently working to keep our centers safe and accessible for all your urgent or essential medical imaging needs. We are continually screening our staff and potential patients for COVID-19 related symptoms and acting accordingly. We want you to feel confident regarding your safety when you visit one of our centers.


Capturing the right information is more than paperwork; it’s how we prioritize your well-being and preferences. It helps us involve, educate and respect our patients. We want to manage your appointment effectively, and we value your time and safety. You can help by printing and completing the relevant patient forms before your arrival.

All patients are asked to fill out these forms prior to their exam, even patients who have had previous exams at New York Private Medical Imaging. Although we keep all your prior information and refer to it, we note any changes in information, as this is critical for the interpretation of your exam. If you prefer, you may complete the forms when you arrive for your appointment.

Please note: You are not required to fill out these forms for the following exams - Digital X-ray, Digital Fluoroscopy, Sonography/Ultrasound.

Patient Forms

Patient Forms - Spanish