Forms And


Click Here For RAPA Physician Documentation

Precertification List For Referring Physicians’ Offices

The information within the link below is specific to the following criteria:
What exams need precertification?

Links to insurance websites and their contact numbers.

Precertification By Insurance Type

Many insurance companies use National Imaging Associates (NIA) for their precertification process. This is a service that requires a person to log-in for access. Their website link is

Patient Exam Preps and Forms

Modality Specific Exam Preparations For Patients

If you have any questions or do not understand the prep instructions, please call us at 501.664.3914. We are here for you!

X-Ray, CT, US and Mammography Referral Forms

MRI/MRA Referral Forms

Premedication Order for Patient’s with a Contrast Allergy