Patient Forms & Prep Sheets

For Your Appointment:

When you arrive, you will meet with a Patient Services Specialist, who will take care of registration for you. Please be prepared with a copy of your photo ID, your insurance card, your script, and any required payments.

You may also download and bring any of the following patient forms: 


Request an Appointment

For Providers

Learn more


See what we offer

Latest News

Southtowns Radiology Doubles the Impact for CHS Sisters of Charity Hospital

This year Southtowns Radiology was a proud sponsor of Sisters of Charity Hospital Foundation’s Brunch… Read More


Southtowns Radiology Announces Paul F. Pizzella, MD as Newly Appointed President

Southtowns Radiology, one of Western New York’s leading imaging centers, is pleased to announce that… Read More


Southtowns Radiology Welcomes Esada Kucevic, PA-C, RT (R)

Medical imaging leader, Southtowns Radiology, continues the growth of their advanced practice provider team with… Read More