Forms And Instructions

RAPA Physician Documentation

ACCESS DOCUMENTATION

Patient Exam Preps & 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 PATIENTS WITH CONTRAST ALLERGY

What Exams Require Prior Authorizations?

Typically high tech radiology (MRI & CT) require prior authorization, depending on the patients insurance. Please verify with the patients insurance if prior authorization is required prior to scheduling the exam.

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