For your convenience, we are happy to provide patient forms for information about CT Scan and MRI in addition to Information Disclosure forms. Please scroll down for the form you need.
We will reply to requests for the electronic copy of the Medical Release form as quickly as possible, often within the same day. Please allow up to 24-36 hours. Click here to return to Schedule a Mammogram page.
- Medical Release Form (This is a pdf version you can print and deliver, if preferred)