For your convenience, you can download and complete the forms based on your imaging appointment type prior to your appointment at the Avista Breast Care Center.

If you have questions or are unsure what forms to use, contact us.

Phone: 303-673-1233

Prior Mammography Records Transfer

• Authorization to Obtain Medical Information from Other Institutions
   

Mammography Patient Forms

• Mammography Patient Information Form
• Mammography Patient Information Form - Spanish
   

Breast MRI Patient Forms

• MRI Screening Form
• MRI Screening Form - Spanish
   

DEXA Bone Scan Patient Forms

• Dexascan Patient Risk Assessment Form
• Dexascan Patient Risk Assessment Form - Spanish