you for choosing Western Imaging for your exam.
This pre-registration form is designed to save you time
on the day of your exam. Please complete and submit
the form at least one day prior to your exam.
We will still need to copy your insurance card on the
day of the exam as well as ask you for your Doctors
orders for verification purposes. Please be sure to
alert our staff that you have pre-registered when you
come in to assure you receive the benefit of pre-registering.