X-Ray Associates

Head Office

• Staff Performance Review

• Vacation / Shift Change Request Form

• Mileage Claim Form

• Education Form

• Incident Report

• Request for Adjustment

• RIS Down Time Form

• Addendum Form

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BOOKING

• Ultrasound scans performed by tech

• NT codes for Sonographers

• Chiropractors

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All Clinics

• Fax Cover Sheet

• Aurora Image Reject Analysis Sheet

• Patient Survey

• Patient Survey Paper

• PACS Correction Form

• Consent for Disclosure of personal

• Consent Form for Stress Test

• Consent for Dr. Thorton

• Covid Visitor Form

• Covid Staff Form

• Covid Cleaning Form

• Stress Test Authorization From

• Bone Density Appointment Questionnaire

• Bone Density patient history

• Body Comp Consent Form

• Verbal Request Form

• Physician Survey Form

• Medical Release Form

• Holter Monitor Diary

• Holter Monitor Form

• Echo Consent Form

• Nuc Med Travel Form Vaughan

• Nuc Med Travel Form Aurora

• NT Form

• NT Attachment Form (Lab)

• Pregnancy Release Form

• Authorization & direction for outside images

• Requisition missing information to send to physicians

Live MRT Observation Forms

• Radiography MRT 

• Vascular Ultrasound DMS

• BMD MRT

• Ultrasound DMS

• Nuchal-Translucency DMS

Vaughan

• Canadian Immigration/New Zealand Emigration  Pg 1

• Canadian Immigration Pg 2

• USA Immigration Checklist