Skip to content
  • We are open! Click here to learn how we are keeping you safe.
  • We are open! Click here to learn how we are keeping you safe.
Diagnostic Health AlaskaDiagnostic Health Alaska
  • Home
  • About
  • Services
    • CT Scan
    • Mammography
    • MRI
    • Nuclear Medicine
    • Ultrasound
    • X-Ray
    • Fluoroscopy
    • Pain Management
  • For Patients
    • Patient Forms
    • Insurance Providers
    • Pay Your Bill
  • For Providers
    • Physician Referral Form
    • Request Online Access to Reports/Images
    • View Reports/Images Online
  • Testimonials
  • Contact
  • Schedule

Patient Forms

Mammography Forms
  • Release of Information
  • Male Mammography Screening Form
  • Women’s Mammography Screening Form
Injection Forms
  • Release of Information
  • Injection, Ultrasound, X-Ray Screening Form
Ultrasound Forms
  • Release of Information
  • Injection, Ultrasound, X-Ray Screening Form
X-Ray Forms
  • Release of Information
  • Injection, Ultrasound, X-Ray Screening Form
Nuclear Medicine Forms
  • Release of Information
  • Nuclear Medicine Screening Form
  • Nuclear Medicine Screening Form Spanish
MRI Forms
  • Release of Information
  • MRI Screening Form (without contrast)
  • MRI Screening Form (with contrast)
  • MRI Patient Screening (Spanish)
  • MRI Consent for IV Injection
  • MRI Post Injection Instructions
CT Forms
  • Release of Information
  • CT Screening Form (without contrast)
  • CT Screening Form (with contrast)
  • CT Patient Screening (Spanish)
  • CT Consent for IV Contrast
  • CT Post Contrast Instructions

Release of Information

    About

    Diagnostic Health Alaska has been active in the community since 1984. We are a trusted provider of exceptional medical imaging services.

    Share

    Contact

    (907) 729-5800

    Contact Us

    Address

    Diagnostic Health Alaska
    4100 Lake Otis Parkway, Suite 102
    Anchorage, AK 99508

  • Non-Discrimination Policy
  • Privacy Policy & Terms of Use
  • Notice of Privacy Practices
  • Careers
© 2023 Alliance HealthCare Radiology
  • Home
  • About
  • Services
    • CT Scan
    • Mammography
    • MRI
    • Nuclear Medicine
    • Ultrasound
    • X-Ray
    • Fluoroscopy
    • Pain Management
  • For Patients
    • Patient Forms
    • Insurance Providers
    • Pay Your Bill
  • For Providers
    • Physician Referral Form
    • Request Online Access to Reports/Images
    • View Reports/Images Online
  • Testimonials
  • Contact
  • Schedule