Radiology Services of New York, P.C., Logo

Patient's Resources

Request Appointment

Test Instructions and Forms

MRI Screening Form
Instructions for Contrast Drink Preparation
Patient History Form

Uninsured or High Deductible

If you are uninsured or have high deductible we are here to help. Please call our office and ask to speak with the office manager Lois Caruso.

Tel. 1-718-979-0100
Ext. 104

Billing Contact Information

Tel: 1-800-889-4447
www.hapusa.com/contact-us
Email: ptinquiry@hapusa.com

Patient's Forms

Medical Records Release Form
No Fault Form
Worker's Compensation Form

Insurance Participation List

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2777 Hylan Boulevard, Staten Island, NY 10306
Phone. 718.979.0100 I  Fax. 718.979.3602

American College of Radiology Accreditations