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Lake District Hospital Lake District Hospital

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Lake District Hospital  ⁄    Radiology Forms

Radiology Forms

COME PREPARED

Have an appointment scheduled and want to come prepared? Download and complete the form associated with your procedure.

  • Abdominal Ultrasound Instructions
  • Barium Enema Colon Study Patient Instructions
  • CT Head Neck Chest Prep 2
  • CT Head Neck Chest Prep
  • CT Injection Prep Sheet
  • CT Scan Abdomen Pelvis Prep
  • CT Scan Abdomen Pelvis with Enterography Prep
  • Discharge Instructions for Barium Swallow, Barium Enema, Small Bowel
  • Fluoro Patient Prep Instructions
  • Hip Injection Discharge Instructions
  • IIV Pyelogram (Kidneys, Urinary Tract) Patient Prep
  • Liver Biopsy Patient Prep Sheet
  • Lumbar Myelogram Prep
  • OB Ultrasound Pamphlet
  • Pelvic Ultrasound Instructions
  • Post Injection Discharge Instructions
  • Post Procedure Pain Diary

Notice of Privacy Practices - English

Notice of Privacy Practices - Spanish

QUESTIONS OR CONCERNS? CALL 541.947.2114 x233

CALENDAR OF EVENTS

Have a question? Call us now.
541.947.2114

Need support? Email us.
Info@LakeHealthDistrict.org

Please do not use this contact email for medical questions, billing questions or emergencies.

Driving? Get directions.
700 S. J Street | Lakeview, OR | 97630

This institution is an equal opportunity provider and employer. If you wish to file a Civil rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at http://www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office, or call (866) 632-9992 to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at program.intake@usda.gov.

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