Patient History

For your safety, all patients will be asked to complete this history each time you have an exam with us to provide us with the most up-to-date health information. To help make your visit more efficient, you may download the PDF and complete the information before you arrive. Be sure to bring the completed history with you to your scheduled appointment.

Patient History – Bone Density

All patients undergoing bone density (DEXA) exams with be asked to complete this history each time you have an exam with us. To help make your visit more efficient, you may download the PDF and complete the information before you arrive. Be sure to bring the completed history with you to your scheduled appointment.

Nondiscrimination Information

Advanced Radiology complies with federal civil rights laws and does not exclude people, treat them differently, or discriminate on the basis of race, color, national origin, age, disability, gender identity, sexual orientation, or sex.

Patient History – Breast Exams

For your safety, all patients undergoing breast exams will be asked to complete this history each time you visit us to provide us with the most up-to-date health information. To help make your visit more efficient, you may download the PDF and complete the information before you arrive. Be sure to bring the completed history with you to your scheduled appointment.

Information Release Authorization

Please use this form when obtaining any prior images or reports from Advanced Radiology. Please note that only you (the patient) or your authorized representative may obtain any prior imaging studies or reports.

Radiology Information

RadiologyInfo.org tells you how various Interventional Radiology procedures are performed. It also addresses what you may experience and how to prepare for the exams.

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OUR LOCATIONS

Fairfield / Interventional Imaging– 1055 Post Rd.
Orange – 297 Boston Post Rd.
Stamford – 1259 E Main St.
Stratford – 2876 Main St.
Trumbull / Advanced Women’s Imaging  – 15 Corporate Dr.
Wilton – 60 Danbury Rd.

Fairfield / Interventional Imaging– 1055 Post Rd.
Orange – 297 Boston Post Rd.
Stamford – 1259 E Main St.
Stratford – 2876 Main St.
Trumbull / Advanced Women’s Imaging  – 15 Corporate Dr.
Wilton – 60 Danbury Rd.

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