© 2019 Georgia Health Imaging

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3653 Lawrenceville Highway, Suite 150

Lawrenceville, GA 30044

Tel: (678) 924-0964

Fax: (678) 924-0965

Patient Forms

Georgia Health Imaging has been serving the metro-Atlanta community for over 15 years providing affordable and critical diagnostic services. As members of the community, we understand what the needs are - accuracy, affordability, and comfort in knowing that your local diagnostic center has your best interest as a priority. 

Once you are scheduled for an exam, please arrive 15 minutes early to complete the forms. You are more than welcome to download the patient forms below to expedite your check-in process on the day of your exam. 

Please be sure to download all the forms necessary for your exams in addition to the general demographic form. 

Patient Demographic Forms

MRI Screening Form

MRI Contrast Form

CT Screening Form

Contrast Form

If you have any questions, please give our office a call at (678) 924-0964 and we'll be happy to walk you through the forms.