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Authorization to Release Patient Information Form

This form allows patients to give written permission for Virginia Beach Diagnostics to release their medical records to another individual, healthcare provider, or organization. It ensures that your personal health information is shared only with the parties you authorize, in compliance with HIPAA regulations.

Imaging Order Form

This form is used by referring healthcare providers to request diagnostic imaging services at Virginia Beach Diagnostics. It ensures we receive all necessary information to schedule and perform the correct test efficiently and accurately.

Medical History Form

This form collects important details about your past and current health to help our team provide safe, accurate, and personalized care. It includes questions about medical conditions, previous surgeries, medications, allergies, and family health history.

Patient Acknowledgement Form

This form explains the purpose, scope, and limitations of your preventive cardiovascular wellness screening. It confirms your understanding that the screening is non-invasive, focused on detecting certain early signs of heart and vascular conditions, and does not replace a full medical evaluation.

Preferred Communication Form

This form allows patients to select how they wish to receive important information from Virginia Beach Diagnostics, such as appointment reminders, test results, and follow-up instructions. It helps ensure communication is timely, secure, and in line with your privacy preferences, including who may be authorized to receive information on your behalf.

Results Delivery Form

This form allows patients to choose how they would like to receive their test results from Virginia Beach Diagnostics and to specify any authorized individuals who may receive them on their behalf. It ensures results are shared in a timely, secure, and HIPAA-compliant manner, according to the patient’s preferred communication method.

Privacy Policy

This document explains how Virginia Beach Diagnostics collects, uses, and protects your personal and medical information. It outlines your rights under HIPAA, how we safeguard your privacy, and the ways your information may be shared for treatment, payment, or healthcare operations. The policy also explains how you can access your records and request corrections.