Downloadable Forms

A variety of useful forms are available for download. You must have Adobe Acrobat Reader installed on your computer to access the files.

Free Adobe Acrobat Reader download

 

Examination Order Forms

MRI

CT

Ultrasound

Diagnostic X-ray

All Modality Order Form

 

Patient Privacy Protection

AAI/CPAI Notice of Privacy Practices

Authorization to Use or Disclose Protected Health Information

 

Large Print Directions to Clifton Park Advanced Imaging