As ChristianaCare works to protect our community, our patients and our caregivers from coronavirus COVID-19, some ChristianaCare Imaging Service sites are temporarily closed. Centralized Scheduling will remain operational for new scheduling requests and scheduling questions at 302-838-3088 or toll-free 877-838-3088.
You may be asked to print and fill out one or more of the following forms before your visit. Please call our office if you have questions.
General Imaging Forms
- Authorization to Release Health Information Form
Complete to release health information from ChristianaCare.
- Authorization to Request Health Information Form
Complete when requesting health information from other healthcare provider(s).
- Pedido para el Acceso a Información Medica (español)
- Conditions for Treatment
- Condiciones de Tratamiento (español)
- 治疗条件和财务责任 (中文普通话社区)
CT/CTA Scan Forms
Mammography/Breast Imaging Forms