Clinic Information:

• HIPAA Notice of Privacy Practices

New Patient Registration Forms

• All About Life Breast Health
• Patient Registration Form    [Spanish]
• Financial Responsibility Agreement    [Spanish]
• Acknowledgement of Receipt of HIPAA Privacy Practices    [Spanish]
• HIPAA Notice of Privacy Practices    [Spanish]


• Access Imaging
• Patient Registration Form    [Spanish]
• Financial Responsibility Agreement    [Spanish]
• Acknowledgement of Receipt of HIPAA Privacy Practices    [Spanish]
• HIPAA Notice of Privacy Practices    [Spanish]


• Prestonwood Imaging
• Patient Registration Form    [Spanish]
• Financial Responsibility Agreement    [Spanish]
• Acknowledgement of Receipt of HIPAA Privacy Practices    [Spanish]
• HIPAA Notice of Privacy Practices    [Spanish]


• Verity Radiation Therapy
• Patient Registration Form    [Spanish]
• Financial Responsibility Agreement    [Spanish]
• Acknowledgement of Receipt of HIPAA Privacy Practices    [Spanish]
• HIPAA Notice of Privacy Practices    [Spanish]


• Synergy Hemotology/Oncology Associates
• Patient Registration Form    [Spanish]
• Financial Responsibility Agreement    [Spanish]
• Acknowledgement of Receipt of HIPAA Privacy Practices    [Spanish]
• HIPAA Notice of Privacy Practices    [Spanish]


• PET/CT Center of Richardson
• Patient Registration Form    [Spanish]
• Financial Responsibility Agreement    [Spanish]
• Acknowledgement of Receipt of HIPAA Privacy Practices    [Spanish]
• HIPAA Notice of Privacy Practices    [Spanish]