Patient Forms

Patient Forms

We have printable patient medical forms available below for your convenience. Feel free to fill them out on your computer and bring them with you when you come for your appointment. This will facilitate your time and get you back to your day as quickly as possible.

Privacy Obligation

American Health Imaging (AHI) is required by law to maintain the privacy of your health information (“protected health information” or “PHI”) and to provide you with this Notice of legal duties and privacy practices with respect to your PHI. American Health Imaging uses computerized systems that may electronically disclose your PHI for purposes of treatment, payment and/or health care operations as described below. When AHI uses or discloses your PHI, AHI is required to abide by the terms of this Notice (or other notice in effect at the time of the use or disclosure).

Notifications

AHI is required by law to maintain the privacy of your health information (“protected health information” or “PHI”) and to provide you with this Notice of legal duties and privacy practices with respect to your PHI. AHI uses computerized systems that may electronically disclose your PHI for purposes of treatment, payment and/or health care operations as described below. When AHI uses or discloses your PHI, AHI is required to abide by the terms of this Notice (or other notice in effect at the time of the use or disclosure).

For more info, see our full Privacy Policy.