North Pittsburgh Imaging Specialists


Below are links to forms that you may wish to print and complete prior to your visit. This will save you time at check-in. If you do not wish to print them in advance or are unable to do so, we will provide you the forms on-site when you check in. (It is important to report on time to your appointment).

For ALL patients to sign and date:

Patient Financial Policy

For MRI patients to complete and sign:

NPIS MRI Examination Record (PDF)

NPIS MRI Gadolinium Risk Assessment (PDF)

For CT patients to complete and sign:

NPIS CT Examination Record (PDF)

NPIS CT Iodine Risk Authorization (PDF)