Patient Information Form

Complete one form for EACH patient

Download + Email Forms

Email completed forms to: rkjakum@gmail.com

OR
You can Submit Patient Info Online

Patient Preparation

Patients should be dropped off by
9 am the day of the procedure, having had NO FOOD after a normal meal at 6 pm the evening prior. Water is permitted.

Ensure that the patient is shaved and/or sedated if needed and that all case history has been submitted.
Please feel free to contact us with any sedation recommendations.

  The scan should take approximately 15 minutes. Additional time may be necessary depending on the preparation or need for secondary imaging or sampling.

Receiving Your Report

Reports will be transmitted digitally within 24 hours (4-6 hours for critical cases).  An auto-generated email will be sent when it is available for viewing/downloading.

*Please contact PA Mobile immediately if your report is not returned within 24 hours.