Patients Forms

For your convenience, we have provided commonly used patient forms on our website for you to access. Please see the list of patient forms below. Once you select the desired form, it will appear in your web browser as a PDF document. You can then print and complete the form and bring it with you to your next office visit!





“I had a great experience at this facility. The front desk staff and techs were all very professional. The radiologist, Dr. Beck, was extremely knowledgeable and had an amazing bed-side manner. She took the time to sit down with me and discuss my results. I would recommend this facility to friends and family.”

Sabrina, patient

“The staff here is so comforting and kind. The first face you see when you walk in is Solange and she makes you feel at ease immediately. I actually called her back to tell her how wonderful I think she is and how at ease she made me feel from the moment I walked in. Dr. Beck was very kind and gentle, and Ana( hope I spelled it correctly) the nurse held my hand during biopsy. The staff here is so precious and I’m very thankful they helped me through a scary time. I would recommend them to everyone.”

Nicole, patient

“Dr. Beck and staff were truly wonderful. I have been going to another Imaging location for the last 30 years. After some unforeseen problem, I found Care Diagnostics. The environment is a warm and friendly hug when you are apprehensive about testing results. I highly recommend you getting your mammogram at care Diagnostics with Dr Beck reading your test.”

Linda, patient

“I am so pleased with everything having to do with my biopsy. Dr. Ruiz is such an intelligent, wonderful doctor! The entire staff was amazing!”

Diane R., patient

“This is the most professional, understanding group ever encountered. Anita the ultrasound technician and Dr. Ruiz made a very stressful situation into an easier procedure. They helped me get through a rough time. I just want to say thank you for your caring and kindness.”

Caryl G., patient

“Dr. Ruiz made a stressful experience so much better. Thank you from the bottom of my heart 🙏🏽🙏🏽”

Verified, patient