Patient Forms
Auth for Release of Medical Records
You can print these forms to fill out, then email forms to our Medical Records Department
records@mineralking.com
You can now opt in for text messaging* related to your medical imaging visit. Please complete the form above if you wish to receive text messages regarding your medical care. You can print and bring to your appointment or complete and email to referrals@mineralking.com
*You may opt out by replying STOP or ask for more information by replying HELP. Message frequency varies. Message and data rates may apply. You may review our Privacy Policy here to learn how your data is used.