
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
Quality is our image.
Located in both Idaho Falls and Rexburg!
Teton Radiology
2001 S. Woodruff Suite 17 Idaho Falls, ID
(208) 524-7237
support@tetonradiology.com
Teton Radiology Madison
425 E. 4th N. Rexburg, ID
(208) 356-4888
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