Radiology Associates of Hackettstown
57 Route 46, Suite 212
Hackettstown, NJ 07840
contact@hackettstownimaging.com
(908) 979-1621 | Fax (908) 852-2393
Open 3T MRI of North Jersey
657 Willow Grove Street, Suite 205
Hackettstown, NJ 07840
contact@hackettstownimaging.com
(908) 979-1621 | fax: (908) 441-2821
Hackettstown Diagnostic Imaging
254 B Mountain Avenue, Suite 102
Hackettstown, NJ 07840
contact@hackettstownimaging.com
(908) 979-1621 or (877) MRI-6100

Medical Forms

Below are forms to download and complete before your appointment at Radiology Associates of Hackettstown:

CT Questionnaire

MRI Questionnaire

Ultrasound / X-Ray Questionnaire

CAT SCAN / IV Contrast Questionnaire

Breast/MRI Questionaire

 

Patient Bill of Rights
As our patient, we want you to know that we respect the privacy of your personal medical information, and we will do all we can to secure and protect your privacy.  When it is appropriate and necessary, we provide the minimum necessary information to only those we feel are in need of our healthcare information about treatment, payment or healthcare operations, in order to provide healthcare that is in your best interest.

We also want you to know that we support you full access to your personal medical records.  We may have indirect treatment relationships with you (such as laboratories that only interact with physicians and not patients) and may have to disclose personal health information for purpose of treatment, patient or healthcare operations.  These entities are most often not required to obtain patient consent.

Download the Patient’s Bill of Rights » [PDF file]