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Patient Forms

In order to help protect our patients’ identities all Austin Radiological Association’s patients will be asked to show a valid proof of ID, such as a federal or state issued drivers license, military or government ID card or passport. All files are saved in Adobe pdf format and require Adobe Acrobat Reader to view. Click here to download a free copy of the viewer.

Printable Forms

Need a copy of your medical records?

Submit an online request for electronic medical records

(Reports available online and images on CD mailed within 24-48 hours. Please allow 3-5 days for delivery of CDs via US Mail.)

Submit a request to pick up your medical records at an ARA imaging centers.

View and print a hard copy of our medical records request
Please be advised: These forms below are not submitted electronically. You will need to print, fill them out completely and bring them with you to your appointment.


Bone Densitometry





CT – PET Scans – Myelograms


Hysterosalpingogram (HSG)

Nuclear Medicine

Pediatric Sedations

(In addition to exam forms listed above)

  • Pediatric Sedation Form (English | Spanish)
  • Pregnancy Release Form for Visitor (For any female visitor ages 10 to 55 going in the exam room) (English | Spanish)
  • Metal Screening Form for Visitor (If a patient is having an MRI and a family member would like to go in the exam room) (English | Spanish)

Interventional Exams

See information on sedation and pain management if needed for a procedure.


Protecting You From Coronavirus

In order to minimize the spread of coronavirus (COVID-19), ARA has made adjustments to our care processes. This includes screening patients and employees, enhanced cleaning services, limiting visitors to the clinics, and maintaining social distancing. MASKS ARE REQUIRED.

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