Forms for Patients

Patients, the following forms and information are provided to you as a resource for your upcoming appointment. Click on each of the forms to download it to your computer.

Download this privacy policy to learn more about your protected health information (PHI) and how it relates to the information we collect as it relates to your health conditions. This information sheet will explain how we use and protect your privacy.
This information sheet will explain how the services you receive at Vancouver Radiologists will be billed and your responsibility for charges not covered by your insurance.
This authorization form allows Vancouver Radiologists, with your consent, to share your PHI with other healthcare providers as deemed necessary.

To view the forms listed above you will need Adobe Reader. You may download Adobe Reader for free at