Lake Norman Regional Medical Center - A Mooresville Hospital

Lake Norman Regional Medical Center - A Mooresville Hospital

171 Fairview Road, Mooresville, North Carolina 28117
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Main Phone: (704) 660-4000
Physician Referral: (704) 660-4002

Patient Information Sheets › Imaging and Radiology › Services

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For your convienance the following patient information sheets are available to be completed prior to your appointment with the Imaging Department. Please print and fill out then bring the sheets with you to the Imaging Department at the time of your appointment.


CT

CT MEDICAL HISTORY.doc

CT SCREENING HISTORY SHEET.doc

CT ORAL CONTRAST FLAVOR CHOICE.doc


MRI

MRI INFORMED CONSENT IV CONTRAST.doc

MRI MEDICAL HISTORY FOR CONTRAST.doc

MRI MEDICAL HISTORY FOR SCAN.doc
 
MRI PATIENT HISTORY SHEET.doc

MAMMOGRAPHY

MAMMO PATIENT HISTORY SHEET.doc

MAMMO PATIENT HISTORY SHEET PAGE 2.doc


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*Average time it takes to see a qualified healthcare professional after registering
Information About Our Wait Times
Our emergency room wait time is approximate and provided for informational purposes only. The wait time indicates the average time it takes a patient to see a qualified healthcare professional after registering. Information in this application is not a substitute for medical advice. If you think you may have a medical emergency, call your doctor or 911
Get directions and the latest wait times via your iPhone ER Extra iPhone App

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  • American College of Radiology
  • ASMBC Bariatric Surgery Center of Excellence
  • Joint Commission
  • Commission on Cancer
  • Chest Pain Center Accreditation