Downloadable Forms

Patient Forms

Patient Information Form

Medical Record Release Form

Medical History Form

HIPPA Consent and Compliance Form

Physician Forms

Core Biopsy of the Breast Patient Record Form

Ultrasound of the Thyroid Patient Record Form

Women’s Imaging Forms

Breast Biopsy Post-Procedure Care Form

Mammo Patient History Form

Our mission is to provide the most advanced diagnostic imaging services in a community-based setting, keeping medical decisions closer to the doctor and patient.

• More than 20 years of professional radiology experience
• State-of-the-art, all-digital imaging equipment
• 100% locally owned and operated
• Results delivered in 24 hours or less
• Separate, private women’s imaging center on premises
• Competitive rates and flexible payment plans available for uninsured patients

The ODC is the vision of Dr. Brent Mainwaring, long-time Beaumont resident and a skilled radiologist with more than 20 years of experience. The imaging center at 3405 College Street in Beaumont started seeing its first patients in mid-December 2011.

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