MRI of the Ankle
Important requirements and instructions for all film requests:
Identification is required for all film pick-ups. In the event that someone other than the patient is sent to pick up the films, they must have a letter signed by the patient, granting them permission to sign out the films on the patient’s behalf.
Films will be available for pick-up at the location your study was performed. All film requests require 2 business days to process. If you are requesting a second copy of an exam you had, there will be a charge of $13 per sheet of film used to print your study. Please fill in the following information to allow your film request to be processed:
| Request Films from American Radiology Services: | |
| Your Name: | |
| Your Phone # or Email Address: | |
| Patients Name: | |
| Your Relationship to the Patient: | |
| Patients Date of Birth: | |
| Exam Films Needed: | |
| Location Exam Was Performed: | AnnapolisBel AirBethesdaCMIC (Calvert)FrederickGlen BurnieGreen SpringHoward CountyNewarkNorth PointOwings MillsQuarry LakeSolomons IslandTimonium CrossingWaldorfWestminsterWhite MarshWhite Marsh Open MRI*I Am Not Sure* (if not sure you will be contacted, may delay process) |
| Reason for Signing out Films: | |
| Dr. or Facility who will Review Films: | |
| Person Picking up the Films: | |
| Date You Wish to Pick Films Up: | (allow 2 business days) |
| Other Information or Instructions: |