Patient Forms

Thank you for choosing Max Resolution Imaging Center for your medical imaging. For your added convenience please use the forms below.
For any additional questions, please call or text us at 832-400-2731 or email us at [email protected]

Forms for Patients - English

Patient Registration Form

Pregnancy Release Form

MRI Questionnaire

CT without Contrast History and Screening Form

CT and IV Contrast History and Screening Form

Authorization To Use OR Disclose Protected Health Information

Formularios para Pacientes - Español

Formulario de Registro de Pacientes

Formulario de Liberación del Embarazo

Cuestionario de Resonancia Magnética

Tomografía Computarizada sin Historial de Contraste y Formulario de Detección

Formulario de Historial y Evaluación para Tomografía Computarizada y Contraste Intravenoso

Autorización Para Usar O Divulgar Información Médica Protegida

Why Choose Us

  • State-of-the-art machine
  • Superior image quality with clear contrast and greater sensitivity
  • Larger facility allows for more patient sessions per day
  • Efficient workflow and faster turnaround times for technicians
  • Experienced medical physicists ensuring accurate diagnostic imaging
  • Consistent results and quality control protocols
  • 100% proof imaging reports