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Serving all people by providing personalized health and wellness through exemplary care, education and research.

Imaging & Radiology

Baylor Scott & White All Saints Medical Center – Fort Worth

 
Need something? Call us: 1.800.4BAYLOR(1.800.422.9567)
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For Your Appointment 

Forms For Your Imaging Appointment 

If you're having an imaging procedure at Baylor Scott & White – Fort Worth or the Baylor Scott & White – Fort Worth Imaging Center on Rosedale, please print and complete the appropriate forms listed below for your procedure and bring them with you to your appointment to expedite your check-in. 

(Note: These forms/information may not be the same for local Touchstone Imaging and other Baylor outpatient imaging locations. Please check with the facility.)

Arthrogram

Home Medications Profile/Discharge Instructions
Outpatient Assessment | Español 
MRI Screening
Patient History for Contrast | Español 
Patient Medication List
Women of Childbearing Age Release

CT

Home Medications Profile/Discharge Instructions
Outpatient Assessment | Español 
Patient History for Contrast | Español 
Patient Medication List
Women of Childbearing Age Release

Fluoroscopy X-ray

Home Medications Profile/Discharge Instructions
Outpatient Assessment | Español 
Patient History for Contrast | Español 
Patient Medication List
Women of Childbearing Age Release

Interventional Radiology

Home Medications Profile/Discharge Instructions

MRI 

Home Medications Profile/Discharge Instructions
Outpatient Assessment | Español 
MRI Breast Imaging
MRI Patient ScreeningEspañol 
Patient History for Contrast | Español 
Patient Medication List
Women of Childbearing Age Release

Myelogram

Home Medications Profile/Discharge Instructions
Outpatient AssessmentEspañol 
Patient History for Contrast | Español 
Patient Medication List
Women of Childbearing Age Release

Nuclear Medicine 

Home Medications Profile/Discharge Instructions
Outpatient Assessment | Español 
Patient History for Contrast | Español 
Patient Medication List
Women of Childbearing Age Release

Ultrasound

Home Medications Profile/Discharge Instructions
Outpatient Assessment | Español 
Patient Medication List

A physician order is required to schedule an appointment at any Baylor Scott & White Medical Center – Fort Worth Imaging center location. To schedule or change an appointment, please call 817.922.2222.