Forms
Bone Densitometry Questionnaire
CT Contrast Consent
CT Contrast Consent
(Spanish)
Health History
Industrial Accident Form
Language Assistance Notice
MRI Patient ScreeningForm
MRI Patient Screening Form
(Spanish)
MRI Contrast Consent
Medical Records Release Form
Medicare Authorization Form
Motor Vehicle Accident Form
Notice of Non-Discrimination
Notice of Privacy Practices
Notice os Privacy Practices
(Spanish)
Notice of Privacy practices Receipt
Notice of Privacy Practices Receipt
(Spanish)
Patient Registration Form
Pregnancy Questionnaire
Pregnancy Questionnaire
(Spanish)
Request to Access PHI
Patient Discharge Instructions
Ablation Procedure Instructions
Ablation Post-Procedure Instructions
Ablation Post-Procedure Instructions
(Spanish)
Biopsy Image Guided Discharge Instructions
Biopsy Image Guided Discharge Instructions
(Spanish)
Breast Biopsy Stereotactic US Guided Discharge Instructions
Breast Biopsy Stereotactic US Guided Discharge Instructions
(Spanish)
CT Discharge Instructions IV Contrast Extravasation
CT Discharge Instructions IV Contrast Reaction
ESI Discharge Instructions
ESI Discharge Instructions
(Spanish)
Foam Sclerotherapy Discharge Instructions
Foam Sclerotherapy Discharge Instructions
(Spanish)
Hysterosalpingogram Discharge Instructions
Hysterosalpingogram Discharge Instructions
(Spanish)
Implanted Chest Port Discharge Instructions
Implanted Chest Port Discharge Instructions
(Spanish)
Lumbar Puncture Discharge Instructions
Lumbar Puncture Discharge Instructions
(Spanish)
Myelogram Discharge Instructions
Myelogram Discharge Instructions
(Spanish)
Percutaneous Drain Discharge Instructions
Percutaneous Drain Discharge Instructions
(Spanish)
Phlebectomy Post-Procedure Instructions
Phlebectomy Post-Procedure Instructions
(Spanish)
PICC Line Placement Discharge Instructions
PICC Line Placement Discharge Instructions
(Spanish)
Port-a-Cath Discharge Instructions
Port-a-Cath Discharge Instructions
(Spanish)
Post Myelogram Instructions
Post Myelogram Instructions
(Spanish)
RF Nerve Ablation Discharge Instructions
RF Nerve Ablation Discharge Instructions
(Spanish)
Sclerotherapy Discharge Instructions
Sclerotherapy Discharge Instructions
(Spanish)
SI Joint Steriod Injection Discharge Instructions
SI Joint Steriod Injection Discharge Instructions
(Spanish)
Thyroid US-Guided Bx Discharge Instructions
Thyroid US-Guided Bx Discharge Instructions
(Spanish)
VenaSeal Post-Procedure Instructions
VenaSeal Post-Procedure Instructions
(Spanish)
Vertebroplasty Discharge Instructions
Vertebroplasty Discharge Instructions
(Spanish)
Quality is our image.
Located in Idaho Falls, Rexburg and Caldwell!
Teton Radiology
2001 S. Woodruff Suite 17 Idaho Falls, ID
Phone: (208) 524-7237
Fax: (208) 522-3017
support@tetonradiology.com
Teton Radiology Madison
425 E. 4th N. Rexburg, ID
Phone: (208) 356-4888
Fax: (208) 356-4720
support@tetonradiology.com
Teton Radiology Caldwell
4519 Enterprise Way, Caldwell, ID
Phone: (208) 454-0742
Fax: (208) 454-2341
support@tetonradiology.com
Opening Hours
Monday: 8:00am - 5:00pm
Tuesday: 8:00am - 5:00pm
Wednesday: 8:00am - 5:00pm
Thursday: 8:00am - 5:00pm
Friday: 8:00am - 5:00pm
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