Medical Forms

For your convenience, DRI has a dedicated page for many medical forms and educational materials relating to your imaging procedure. Before your appointment at DRI, you may wish to download, print and complete medical forms and review educational materials. A staff member will assist you in selecting the forms you will need to complete and bring to your appointment as well as which educational materials may be helpful. Completing medical forms in the privacy of your home can save you time and effort when you arrive. Be sure to bring the completed forms with you to your appointment. If you have any questions, please contact DRI at (336) 433-5000.

All Patients

Bone Density (DXA) Patients

CT Scan Patients

Interventional Radiology Patients

Mammogram Patients

MRI Patients

Spine Procedures

Stereotactic Breast Biopsy Patients

Vein Treatment Patients

Virtual Colonoscopy Patients

Wire Localization

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