Appointments: 215-464-3300 | Hours: Mon–Fri: 8am–8pm
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Independent Physicians Medical CenterIndependent Physicians Medical Center

  • Radiology
    • MRI
      • MRI
      • MRA
      • MRCP
      • MRI and MRA Contrast
      • MRI Preparation
    • CT Scan
      • CT Scan
      • CTA
      • Types of CT Scan
      • CT Scan Preparation
    • Nuclear Medicine
      • Nuclear Medicine
      • Types of Nuclear Tests
      • Nuclear Test Preparation
    • Ultrasound
      • Ultrasound
      • Types of Ultrasounds
      • Ultrasound Preparation
    • X-Ray
      • X-Ray
      • X-Ray Preparation
    • Mammography
      • Mammography
      • 3D Mammography
      • Mammography Preparation
    • DEXA Scan
      • DEXA Scan
      • DEXA Scan Preparation
  • Cardiology
    • Cardiology
    • Stress Test
    • Echocardiography
    • Stress Echo
    • Coronary CTA
    • Cardiology Preparation
    • Our Cardiologists
  • Health Clinic
  • For Patients
    • For Patients
    • Forms Download
    • Scheduling an Appointment
    • No-Show & Late Cancellation
    • Test Preparation
    • Frequently Asked Questions
    • Insurances Accepted
    • Insurance & Payment Questions
    • Worker’s Compensation and Motor Vehicle Accident Insurance
    • Radiology Information System
    • COVID-19 Information
  • For Doctors
    • For Doctors
    • Insurances Accepted
    • Access to Patient Records
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Forms

All patients undergoing the procedures listed below must complete patient evaluation forms for those procedures. For your convenience we have made these forms available online, to be filled out and brought to your appointment.

MRI

Please be sure to print and fill out this form prior to your MRI appointment!

  • MRI Questionnaire

CT Lung Cancer Screening

For Low Dose CT Lung Cancer Screening please print and fill out this form before visiting the office:

  • Lung CT Consent & Order Form

Mammography

Please be sure to print and fill out this form prior to your mammography appointment!

  • Mammography Questionnaire

 

For Patients

  • For Patients
  • Forms Download
  • Scheduling an Appointment
  • No-Show & Late Cancellation
  • Test Preparation
  • Frequently Asked Questions
  • Insurances Accepted
  • Insurance & Payment Questions
  • Worker’s Compensation and Motor Vehicle Accident Insurance
  • Radiology Information System
  • COVID-19 Information

Departments

  • Radiology
  • Cardiology
  • Health Clinic

Studies

  • MRI
  • CT Scan
  • Nuclear Medicine
  • Ultrasound
  • X-Ray
  • Mammography
  • DEXA Scan

Contact

9908 E. Roosevelt Blvd.
Philadelphia, PA 19115

215-464-3300 | Radiology
215-464-2902 | Health Clinic
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