Patient Assistance

Patient Registration & Health History Forms

Streamline your office visit at Encompass by downloading and completing necessary forms prior to your appointment.
If you forget to bring the completed forms with you, you will be asked to fill them out again in our waiting area before you see the physician.

• Patient Registration Form
• Breast Patient History Form
• MRI Questionaire
• CT Questionaire
• Covid Vaccine Consent

Patient Education & Exam Preparation Information

• Radiology Exam Preparation
• Notice of Privacy Practices
• About Ultrasound and Vascular Ultrasound at Premier-Imaging
• About Magnetic Resonance Imaging MRI & MRA at Premier Imaging
• About Echocardiography at Premier Imaging
• About Digital X-Ray at Premier Imaging
• About Digital Mammography at Premier Imaging
• About CT & CT Angiography at Premier Imaging
• About Cardiac Scoring at Premier Imaging
• About Bone Densitometry at Premier Imaging
• Notice Regarding Patient Protections Against Surprise Billing