To ensure Wyoming Imaging Center continues to provide the best quality of care possible, please complete our Patient Survey and tell us about the care you received.
WIC Consent Form – PDF
WIC Medical Questionnaire – PDF
WIC Scheduling Form – PDF
WIC HIPAA Form - PDF
To streamline your scheduling process, please submit your completed forms to wicschedule@wyomingimagingcenter.net by clicking the “submit form” button on the bottom of each form. You will be sent a reply email from Wyoming Imaging Center confirming that your forms were received. If you do not receive this email, please contact our office at 307.577.1003 or 800.223.7474.
Adobe Reader is required to view and submit forms. Mac users must use Adobe Reader for Mac, rather than Preview. Download Adobe Reader here.