Appointment Center @ Central Oregon Radiology Assoc., P.C.

You can schedule an appointment by calling 541.382.9383 Mission Statement: Central Oregon Radiology Assoc., P.C. exists to provide quality diagnostic imaging services to the Central and Eastern Oregon communities. Central Oregon Radiology Assoc., P.C. seeks to be the provider of choice to our patients, referring physicians and healthcare delivery partners and the employer of choice to our staff. About Your Visit Patient Forms

	Central Oregon Radiology Assoc., P.C. 1460 NE Medical Center Drive Bend, Oregon 97701
Main Phone 541.382.6633
Scheduling 541.382.9383
Billing 541.383.1614
Medical Records 541.383.5977

Patient Forms & Prep Instructions

We have provided you with better patient processing. This is to help guide you and answer any questions prior to your visit. Please print and complete all the forms needed for your exam and bring them to your appointment.

Forms Require Free Adobe Reader Software - download here if needed
	Patient Pre-Registration Form
	Abdominal Ultrasound Questionnaire
	MRI - Magnetic Resonance Imaging Questionnaire
	Computed Tomography Questionnaire
	PET Scan Questionnaire
	PET Patient Instructions
	Central Oregon Radiology - X-Ray, Ultrasound, and Nuclear Medicine Exam Prep & Locator Map
	Central Oregon MRI and CT Exam Prep Instructions and Locator Map
	Cascade Medical Imaging, Westside – Patient Prep Instructions and Locator Map
	Radiofrequency Ablation Patient Information and Preparation Instructions
	Cascade Medical Imaging, Redmond – Patient Prep Instructions and Locator Map
	Medical Records Release Form
	List of Current Medications
	Notice of Privacy Practices (HIPAA Compliance)
	Patient Feedback Questionnaire

Important Information Regarding Your Imaging Exam Visit

• Bring your health insurance card with you to your appointment
  
• Please provide our staff with 24 hours notice if you need to cancel or reschedule
  
• Please leave all jewelry and unnecessary valuables at home
  
• Unless instructed otherwise, take medications as prescribed
  
• Do not hesitate to call our facility with any questions that you may have
  
• Carefully follow all examination prep instructions given
  
• If you are having an MRI procedure, you may bring your favorite CD to listen to during your exam
  
• Bring a designated driver if sedation or support is needed

Home