Mobirise Web Page Generator

Patient Information


All diagnostic imaging procedures must be recommended by your physician and require a physician order. Your physician's office staff can assist you with your appointment or you can schedule your procedure directly with us. It is extremely important for you to keep your scheduled appointment. If an emergency prevents you from keeping it, please call our office prior to your scheduled appointment time, to cancel or reschedule. This simple step will prevent unnecessary delays for all of our patients.

Documents to Bring

You will be asked to arrive before your scheduled appointment to allow time for you to complete the necessary paperwork. Please bring the following documents to your appointment:

Requisition/Order Form - this is the form completed by your physician ordering this exam for you.

Insurance Cards - you will need to bring all current insurance cards for the date of service.

Contact Information - Please bring all the contact information for the person responsible for payment on your date of service.

Payment - Payment is required at the time services are rendered if you do not have insurance. For patients with insurance, you will be required to pay any deductible or co-insurance dictated by your insurance plan at time of service. Our staff will call your insurance company to get the best estimate of what you will owe at the time of your procedure. Please remember this is just an estimate. The final payment owed will be determined after your insurance company processes your claim. We accept personal check, cash, money order, Visa, MasterCard,American Express and Discover credit cards. Financial assistance, based on need, may also be available.

Billing and Insurance

Many factors affect what your out-of-pocket costs are for a procedure - your insurance plan, your deductible, your copay and your annual income if you don't have insurance coverage.

Learn more »

Patient's Bill of Rights

Your rights and responsibilities as a patient. If someone is helping you make healthcare decisions, he or she may exercise these rights.

Learn more »

Patient Education

For links that point to other sources of information, click here.

Linked sites are not under the control of Kenosha Open MRI, and Kenosha Open MRI is not responsible for the contents of any linked site, any link contained in a linked site or any changes or updates to such sites. Kenosha Open MRI provides links as a convenience, and the inclusion of any link does not constitute an endorsement of the site by Kenosha Open MRI.