Radiology Testing Patient Form

Below you will find a lot of information that you may need to prepare for the test(s) that have been ordered for you. The information / Instruction forms are organized based on the type of study that was ordered. If you have trouble finding the correct information please call 913-322-7408.

Important Considerations:

  • If you may be pregnant, please call immediately before your scheduled appointment. (Excludes Ultrasound testing)
  • If you have a doctors order for the test being scheduled please bring it with you.
  • If you have copies of any pertinent previous tests (x-rays, CD's or reports) please bring them with you at the time of your appointment. The radiologist will use them for comparison to determine if any change occurred.
  • Do not forget to bring your identification and insurance information with you.
  • If you have a question regarding your exam or how to prepare for the test and can not find the answers below, please do not hesitate to call us. A technologist will be available should you need help.
  • If for any reason you are unable to keep your appointment, please call 913-322-7408 to notify and reschedule.
  • DO NOT FORGET to bring the completed forms with you.


CT Scan Forms

 CT Scan Preparation Instructions
 CT Scan Consent Information Intake Form
 After Receiving Contrast Material Instructions

MRI Forms

 MRI preparation instructions
 MRI Patient Screening Form
 MRI Implant Form (please complete if you have an implant listed in the MRI patient screening form)
 After receiving Contrast material instructions

DEXA Scan Forms

 DEXA preparation instructions
 DEXA Consent information Intake form



Ultrasound Forms

 ULTRASOUND preparation instructions

X-Ray / Fluoroscopy Forms

 X-Ray Preparation Instructions
 After receiving Contrast material instructions


Interventional Radiology (Biopsies, Myelograms...)

 Myelogram: Patient Myelogram Information Instruction Sheet

 List of drugs that need to be stopped a minimum of 48 hrs before any radiology procedure

 Myelogram: List of anticoagulants (blood thinners) medications that need to be stopped before your Myelogram

 General Biopsy Instruction Sheet

 General Biopsy Discharge Instructions

 Lung Biopsy Heimlich Valve Care

 Lung Biopsy Discharge Instructions




   11217 Lakeview Ave 
   Lenexa, KS 66219

   Phone: 1-913-322-7408
   Fax: 1-913-322-7410 
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   Schedule Today



Our Mission: MISH Hospital and Clinics provides high-quality care and programs that set community standards and exceed patient expectations. Services are provided in a caring, convenient, cost-effective and accessible environment.

Our Vision: MISH Hospital and Clinics strives to be recognized as a leader in patient care. We are people working together to do the right thing every day to improve the health and well-being of every person we serve. 

Our Goal: The goal of MISH Hospital and Clinics is to provide excellent and innovative patient care in a supportive and approachable care environment.