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Friday, 02 January 2009 16:39 |
CT Forms
The following links contain the forms that we will need for you to fill out and submit or print out and bring with you prior to your appointment. Some are online only and others are PDFs that require a signature (by law), and must be printed, filled out and brought with you. Note, this is not a requirement, although it will expedite your check-in process.
- Patient Registration - Submit Online
- Assignment of Insurance Benefits (All Insurances) - Print and Bring With You
- Our Financial Policy - Print and Bring With You
- CT Patient Information - Submit Online
- CT Contrast Consent Form - Submit Online
Medicare Patients
Additionally, if you are a Medicate patient, we need for you to print and bring with you an ABN form in English or Spanish.
Accident Patients
If you are being seen due to an accident, please fill out the following forms.
- Assignment of Insurance Benefits (PIP)
- Letter of Protection
- PIP Disclosure Form
Contact Us
If you have any questions, please feel free to contact us. Thank you for your cooperation.
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Last Updated on Saturday, 03 January 2009 12:18 |
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Testimonials
I want to say a big THANK YOU to everyone at Elite Imaging who made my visit such a positive experience. Everyone was kind, reassuring and efficient and we appreciated the great service and the way in which you went beyond the call of duty. Please give my kindest regards to everyone.
Thank you also for forwarding the results to my Doctor at University of Miami Hospital, Dr. Floriano Marchetti.
Dr. Gulec is a very delightful man and I am very glad for the opportunity to see him. I look forward to receiving his report. Needless to say I was overjoyed at his diagnosis.
Praise God for His mercy. May God bless you at all times.
M.J. - Grand Cayman
I just wanted to thank you very, very much for the special VIP treatment you extended me during my visit. I really appreciated that you picked me up from the airport. That was really special! Both my doctors received the MRI report and hopefully I will soon be on the road to treatment and recovery. Thank you again for all your help and special attention.
J.L. - Nassau, Bahamas
I would like to take this time to tell you about your excellent employees. The employees represent Elite Imaging in a positive manner. The employees are professional, knowledgeable, great attitudes, very helpful first class customer service and definitely an asset to this company.
S.T. - Hollywood, Florida
I cant thank you enough for the excellent service the other day during my breast MRI. The technologist and his assistant were extremely nice and very sensitive to my anxiety. Thank you for your sincere caring.
L.T. - Miami, Florida
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