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As a convenience to our patients, we have provided our most utilized patient forms in a .pdf format. You will need Adobe Acrobat Reader to view and print these forms. If you do not have this program, you may download it for free here. Please click on the name of the form below to open and print it.
MRI Safety Screening Visitor - if you'd feel more comfortable with a friend or family member being in the MRI room with you they will need to fill out this form.
Authorization for consent - as a courtesy, OAI will bill your insurance company. This form explains the billing and communication process with your insurance company and/or referring medical office.
Breast Imaging Questionnaire - this form is completed by all patients scheduled for a Breast MRI. Want to know more about this exam? Please visit our Breast MRI web page.
Should you require your records to be sent to another physician or provider, please download and print our Records Request form. Fill it in and mail or fax it to the address found on the form. Should you have any questions please give our office a call at (541) 608-0350, or (800) 462-1098. Please note, there may be an additional charge for shipping and handling.
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