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Imaging & Radiology

Baylor All Saints Medical Center at 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 Fort Worth or the Baylor All Saints 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 All Saints Imaging center location. To schedule or change an appointment, please call 817.922.2222.