Registration Forms - University Diagnostic Medical Imaging

Registration Forms

Registration paperwork is required depending on the exam you are having done.  You can fill these forms out in person when you arrive for your appointment, or save time by downloading and printing the forms below to fill them out in advance and bring with you.  Click on the name of your exam below to download the relevant form(s). 

New patients must also fill out the New Patient Paperwork.

If you are having an exam in connection with a workers compensation claim or no fault claim, please fill out the below form: