• Patient Forms
     • Insurance Information
     • Schedule MRI
     • Patient Rights
     • Patient Survey
     • Hotel Information



Mon - Thurs - 7:00 AM - 9:00 PM
Friday - 8:00 AM - 5:00 PM
Saturday - 7:00 AM - 7:00 PM









Medica Stand-Up MRI of Birmingham
3105 Independence Drive
Suite 101
Homewood, AL 35209

Phone: 205-871-3335
1-888-4-YOUR-MRI (496-8767)
Fax: 205-871-3305

Click here for directions.


 

Patient Forms

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Patient Demographic Form

Patient Screening Form

Patient Screening Form - Other

MRI/MRA Brain Form

Patient Privacy Form

Contrast Form

• En Espanol Forms

     • Consent For Treatment - Spanish
     • Registration - Spanish