Online Forms.

Radiology & Imaging strives to make every physician's referral and each patient's visit to our imaging centers as comfortable and convenient as possible. Our online resources are just one of the ways we make this happen.

Click on the links for the forms to the right to open and download these files. You will need Adobe Reader to view the files.

You can download Adobe Reader here, for free:

Referral Form

This form may be downloaded for physicians to refer a patient to one of our imaging centers.

The form includes patient preparation instructions and maps to our imaging center locations.

PET Scan Referral Form

This form may be downloaded for physicians to refer a patient for a PET study at Coastal Bend P.E.T. Scan, Ltd.

The form includes patient preparation instructions and a map to the imaging center location.

Patient Information Sheet

Patients, you may use this form to save time when registering for your appointment.

Simply download, print and fill out this form before the day of your appointment. Then, bring the form with you to your appointment and our helpful staff will take care of the rest.