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RadNet South Bay
RadNet Affiliated Imaging Centers
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  1. For Patients
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DOWNLOAD FORMS

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.

Medical Record Release Form

  • Medical Record Release Form

New Patient Forms

  • General Registration Form – Redondo Imaging Center

CT Forms

  • CT IV Contrast Informed Consent Form
  • CT Patient History Form
  • Virtual Colonoscopy Patient History Form

MRI Forms

  • Breast MRI Informed Consent Form
  • Breast MRI Patient History Form
  • Breast MRI Patient Breast Implant History Form
  • MRI Patient History & Consent Form

Mammography Forms

  • Mammography Patient History Form
  • Male Breast History Patient Forms.
  • DEXA Patient History Form

Todas las formas de la lengua española

  • Informacion Del Paciente – Redondo Imaging Center
  • Consentimiento Informativo, Examen MRI Del Seno
  • Historial Del Paciente De Bone Density
  • Historial Del Paciente, CT
  • Historial Del Paciente, Mammography
  • Historial Del Paciente, MRI Del Seno
  • Historial De Cirugia Del Seno, MRI Del Seno
  • Historial Del Paciente, Virtual Colonoscopy
  • Historial De MRI y Forma De Consentimiento
  • Tarjeta de Comentarios
RadNet Affiliated Imaging Centers

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Phone: 714-784-1643

All locations are ACR Accredited.

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