Patient Forms

Consent for Treatment

Madison Radiology will need a completed Consent for Treatment form completed annually, if you have completed one recently, you don’t need to complete this again.  If we don’t have a recent one on file, you can print, complete and bring this form with you to save time.  If you cannot print one, we will have one for you when you check in.

Consent for Treatment and Release of Information and Acknowledgment

Exam Questionnaires

Some exams have patient history questionnaires to complete before your exam, this provides our technologists and radiologists more information about why we are seeing you today.  If your exam is listed below, you can print and complete this and give it to your technologists prior to your exam. If you cannot complete the questionnaire before your exam, your technologist will complete it with you at exam time.

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