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Access Imaging | Mobile Ultrasound
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ABOUT
SERVICES
CONTACT
Access Imaging | Mobile Ultrasound
Work with Us
ABOUT
SERVICES
CONTACT
Work with Us

Patient Forms


Patient Consent Form

Registration Form (Pregnancy)

HIPPA Privacy Statement

HIPPA Acknowledgement Form

Medical Ultrasound Forms

Medical Release Form

SCREENING ULTRASOUND FORMS

Patient Consent Form

Registration Form (Screening)

HIPPA Privacy Statement

HIPPA Acknowledgement Form

4D Maternity (Elective 3D/4D Imaging) forms

Patient Consent Form

Registration Form (4D Maternity)

4D Maternity Waiver of Liability Form

medical release forms

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Providing mobile ultrasound services in St Lawrence, Franklin, Clinton, and Essex Counties

Phone: (518) 481-3309 Fax: (518) 909-6379

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