Your Visit to Siskiyou Imaging

Patient Forms

For your convenience, we have patient registration forms you can download. To save time on the day of your appointment, fill these out at home and bring them with you when your exam is scheduled. All patients must fill out these two forms.

For patients having a breast MRI, please also complete both of these forms:


We will assist you in submitting your insurance claim. Payment of charges not covered by your insurance or copay is requested at the time of visit. VISA and MasterCard are accepted.


If you have any questions, please contact us during office hours to speak to one of our staff.

Your Visit to Siskiyou Imaging