This notice describes how medical/health information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Advanced Radiology complies with federal civil rights laws and does not exclude people, treat them differently, or discriminate on the basis of race, color, national origin, age, disability, gender identity, sexual orientation, or sex.

RadiologyInfo.org tells you how various Interventional Radiology procedures are performed. It also addresses what you may experience and how to prepare for the exams.

Advanced Radiology has created this document as a reference for anyone in need of medical imaging services. It provides valuable information on obtaining radiologic care, how you and your health insurance can cover the cost.

For your safety, all patients will be asked to complete this history each time you have an exam with us to provide us with the most up-to-date health information. To help make your visit more efficient, you may download the PDF and complete the information before you arrive. Be sure to bring the completed history with you to your scheduled appointment.

Please use this form when obtaining any prior images or reports from Advanced Radiology. Please note that only you (the patient) or your authorized representative may obtain any prior imaging studies or reports.