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You can save time in
our imaging center by completing forms ahead of
time.
The following forms can be downloaded
to your computer and printed at home. By filling
out these forms ahead of time you will save significant
time on the day of your visit. If you have any questions
when filling out these forms, please do the best
you can and our staff will assist you with your questions
on the day of your visit.
For your initial visit, please
print and fill out the correct form for your examination
from those listed below:
The following forms are provided for use if requested by RIA Staff:
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Preventing Identity Theft
RIA is providing the following links to websites that can help patients understand how to prevent, detect, and respond to identity theft.
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The process
of visiting healthcare providers has become complicated
as a result of many insurance and payor requirements.
In addition, many radiology procedures involve specific
preparation and/or precautionary procedures. To simplify
the process and minimize the amount of time required
for your visit, R.I.A. wishes to inform and advise you
of the following important preparation and policy information.
In Advance
of Your Visit - Many radiologic exams require
preparation in advance of your visit. Some of these and requirements are provided here for
your information and reference.
Items You
Must Bring - You must
have the following items with you at the time of your
visit. Failure to bring these items with you may result
in a need to reschedule your imaging procedure.
- Written referral order(s) from your physician. We must
have the signed referral order and/or the authorization
form required by your insurance company at the time of
your visit.
- Your insurance card and any copayment due so that we
may submit your insurance claim on your behalf.
- Workers' compensation claim or automobile insurance
information, if relevant.
- All related imaging studies performed elsewhere that
relate to your visit. For example, prior mammograms (very
important), M.R.I.s, x-rays, C.T.s, sonograms, or other
imaging studies. These films and reports allow our radiologist
to make comparisons that are necessary for the best interpretation
of the new studies.
- The name and address of any other physician who should
receive the report of your imaging examination.
X-Rays and
Pregnancy - For
women of child bearing age(12-50), all x-ray and CT exams
of the abdomen, pelvis and proximal femurs, and all Nuclear
Medicine exams are to be scheduled between day one and
day fourteen following the start of the menstrual cycle,
unless the chance of pregnancy can be excluded, i.e.,
hysterectomy, tubal ligation, use of birthcontrol pills,
or other birth control devices.
Preparation
Instructions - Many
imaging examinations require specific preparation prior
to arrival at our Center. Please follow instructions
carefully in order to ensure that your imaging study
may be performed as scheduled. An is available through our office or at your
physician's office, or you may contact us by phone.
Scheduled
Appointment Times - We make every effort to
honor scheduled appointment times. Therefore, it is important
that you arrive at our Center on time. Failure to do so
may result in the need to reschedule your radiological
study. To help us avoid service delays, please arrive at
your scheduled appointment time, or call in advance if
you need to cancel or reschedule your appointment.
Childcare
During Testing - Unfortunately,
we cannot routinely supervise your children during your
imaging study. We believe that you are best served when
we can provide 100% of our attention to you. Therefore,
we encourage you to make childcare arrangements or to
bring a responsible person with you to supervise your
children.
Reporting
of Imaging Results - At the time of registration, please indicate to whom we should send the results of your study, and if the doctor is standing by for priority results. Our goal is to make your results available to your physician within 24 to 48 hours, unless your physician requested results as emergency or "wet" reading. To allow time for your doctor to review the results of your study, possibly in conjunction with other tests, you might ask your doctor when you should follow up with them.
Film Sign-Out Policy - To prevent delays and inconvenience, please notify us 24 hours in advance if you need to sign-out your records. We need this time to prepare the records. Records are provided on CD media. If film is needed, there may be additional cost.
R.I.A. staff members strive to
make your visit as comfortable and productive as possible.
Please feel free to ask any questions and let us know
how we may better serve your imaging needs.
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