Exam Requisition Printable Form
Use RadiologyInfo.org logos on your print or online radiology exam requisition forms. For your convenience, we've included templates for you to download and customize for your practice in various file formats. Be sure to include the RadiologyInfo.org logo and URL to ensure your patients have access to information about the exams or treatments you're prescribing.
Image Wisely is a program that seeks to deepen understanding of adult radiation safety among physicians, radiologists and medical physicists. It is a collaborative effort of the American College of Radiology (ACR), the Radiological Society of North America (RSNA), the American Society of Radiologic Technologists (ASRT), and the American Association of Physicists in Medicine (AAPM).
Visit ImageWisely.org for research and educational materials that aid physicians in determining the appropriate imaging tests and how the radiation received from these exams may affect patients over time.
- For patient information on radiation safety, see our video presentations on the benefits and risks of medical imaging.
- Patient Medical Imaging Record: This free imaging card allows patients to easily track the date, type, and location of their radiology exams. It is co-sponsored by Image Wisely and the U.S. Food and Drug Administration.
Image Gently is a campaign that seeks to raise awareness of the opportunities to reduce and limit radiation dose in the imaging of children among physicians, radiologists, technologists, medical physicists and parents. It is a the product of the Alliance for Radiation Safety in Pediatric Imaging, a coalition of now over 90 medical organizations, founded in 2008 by the Society for Pediatric Radiology, the American Association of Physicists in Medicine, American College of Radiology (ACR), and the American Society of Radiologic Technologists (ASRT).
Visit Imagegently.org for research and educational materials that aid physicians in determining the appropriate imaging tests and how the radiation received from these exams may affect patients over time and for clear, concise parent information, now translated in over 10 languages.
Click the links below to access Image Gently's most downloaded resources:
- Printable Medical Imaging Record forms for tracking exams are available from the downloads section of the What can I do as a parent? page.
- The CT Protocol discussion, Recommendations and worksheet are available on the Radiology Safety - What can I do? page.
- Parent Information Brochures:
RadiologyInfo™ Printable Handouts
Printable PDF versions of the various radiology procedures are available as handouts for your patients. If you print them in advance, we recommend that you print small quantities and return to the RadiologyInfo website frequently to check for updates in the material. To ensure that you have the latest information, check that the date printed on the Handout matches the "date last modified" on the procedure's PDF download page.
Only non-commercial reproduction and distribution of the handouts to your patients is permitted.
RadiologyInfo™ Promotional Flier
A free 8 ½" x 11" RadiologyInfo.org promotional flier is available in PDF and MS Word format for your use. Download either the standard flier or use the customizable flier to add your logo or contact information.
RadiologyInfo™ Promotional Posters
Free 8 1/2" x 11" and 16" x 20" RadiologyInfo.org promotional poster designs are available in PDF format for your use. Download either size poster to print and hang in your medical office or waiting room.
Various print fulfillment websites can print the posters. These sites are not affiliated with RadiologyInfo.org. Printing costs are the user's responsibility. Contact email@example.com for more information.
RadiologyInfo™ Promotional Business Card
A free PDF containing 3" x 2" business cards for your use. Download the customizable PDF to add your logo or contact information.
Radiological Terrorism Primer
American College of Radiology primer for radiologists, radiation oncologists and medical physicists, "Disaster Preparedness for Radiology Professionals: Response to Radiological Terrorism"
See the RadiologyInfo Logos page
See the RadiologyInfo Videos page