Ultrasound exams are not performed on a walk-in basis. If you don’t have a scheduled appointment but require immediate assistance, we can usually get you an appointment within 24 hours.  If you would prefer to call, please call (214) 932-9109 to schedule an appointment.

Complete this form and we will contact you to schedule your appointment.

Use of this form constitutes your agreement and binding to its Terms of Use and Privacy Notice, and your provider's privacy policy. DO NOT USE THIS FORM/SYSTEM IF YOU DO NOT AGREE. DO NOT USE THIS FORM FOR URGENT MATTERS. IF YOU ARE HAVING AN EMERGENCY, DIAL 911. ALWAYS CONTACT YOUR PROVIDER DIRECTLY FOR ANY MATTERS NEEDING A TIMELY RESPONSE. This form makes no guarantee of successful transmissions and no guarantee of your receipt or processing of your request.

Patient Registration Packet

Provider Authorization Form

Waiver of Liability Form

Consent HIPPA Form

Patient Registration Packet

Provider Authorization Form

Waiver of Liability Form

Consent HIPPA Form

Please download the following and complete

Patient Registration Packet

Provider Authorization Form

Consent HIPPA Form