State law prohibits us from taking x-rays without the detailed prescription slip provided by your doctor. Although we can attempt to call your doctor to verify a misplaced or forgotten prescription, there are frequently instances where a doctor may not be available to verify the original prescription and understandably this can be a substantial inconvenience to everyone involved. Therefore, we thank you in advance for bringing your prescription slip to the appointment.

It is also essential that you provide us with the brief but necessary information requested on the backside of the prescription slip. Because children will oftentimes be brought by caregivers other than their parent or legal guardian we request that you complete this brief form at your earliest convenience so it is not overlooked which can cause needless delay.