Radiology & Imaging Main

 

Save Time in Our Department   

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, our staff will assist you with your questions on the day of your visit.

If you already have a copy of Adobe Acrobat Reader, you may download a form immediately by clicking on the name of the form below.  The PDF file sizes are relatively small and will take only a few minutes to download, depending upon your modem and connection speed.  When the file transfer is complete just click on the filename to launch Acrobat Reader and open the form and print it.

If you do not have a copy of Acrobat Reader you can get one for free by clicking on the icon 'Get Acrobat ® Reader'.  This will take you to Adobe's website and enable you to download the Acrobat program to your computer.

For your initial visit, please print and fill out the correct form for your examination from those listed below:

Physician Scheduling forms for interventional procedures:

Workers Compensation

If you have a Workers Compensation claim, please print and fill out the following form:

  • Workman's Compensation

No-Fault

  • No-Fault Accident Insurance Form

Patient Request for Medical Images

If you are a patient and seeking copies of your medical images, please contact our File Room at (212) 774-7356.

 

Office Location
 
Hospital for Special Surgery
535 East 70th Street
New York, NY 10021
tel: 212.606.1015
fax: 212.774.2349
email: info@imaginghss.org

 

 

 

 

 


Copyright © 2005 HSS Department of Radiology and Imaging. Maintained and Managed by MedNet Technologies, Inc.  All Rights Reserved.