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MID-ATLANTIC IMAGING CENTERS SCHEDULING PROTOCOLS FOR 2026

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The document outlines the scheduling protocols and requirements for various imaging services at Mid-Atlantic Imaging Centers, including mammograms, breast ultrasounds, and bone density tests. It details what patients need to bring based on their previous visits and the type of exam they are undergoing. Additionally, it includes a financial policy regarding payment responsibilities, an authorization for release of medical records, and an Advance Beneficiary Notice of Noncoverage (ABN) for Medicare patients. The document emphasizes the importance of compliance with these protocols to ensure timely and effective healthcare services.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your personal information in the designated fields, including your name, date of birth, and contact numbers. Ensure accuracy for seamless communication.
Review the specific requirements for each type of exam (Mammogram, Breast Ultrasound, Bone Density) and check the appropriate box indicating whether you have been seen at MAIC before.
For each exam type, gather and upload any necessary documents such as insurance cards and doctor's scripts directly through our platform.
Read through the financial policy section carefully. Initial each point to confirm your understanding and agreement with the terms outlined.
Finally, sign and date the authorization for release of medical record information at the bottom of the form before submitting it.

Start using our platform today to complete your scheduling protocols effortlessly!

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