Mount St. Mary's Hospital and Health Center - Your Hospital for Life Wisdom - Creativity - Dedication - Service to the Poor - Reverence - Integrity
Ascension Health


Dear Patient:

It is important that you do not have anything to eat or drink four hours prior to your appointment with the exception of your medication. Please take your necessary medication with as little water as possible. You must also have someone accompany you on the day of your exam.

The radiologist performing your examination will explain the procedure to you and answer any questions you may have. In the meantime, should you have any questions, please feel free to call us at 278-4531.

You must have a prescription from your physician ordering this test. If your physician has not given one to you, you may have them fax it to us at 278-4354.

Thank you.

[INSURANCE NOTICE] If you do not have insurance, a Financial Counselor is available for your assistance at 278-4568. *Co-pays & Deductables will be collected at the time of service. We accept Master Charge, Visa and personal checks.

VALUABLES (ex.jewelry, cash, credit cards) THE HOSPITAL WILL NOT BE RESPONSIBLE FOR LOST OR STOLEN PROPERTY THESE ITEMS SHOULD BE LEFT AT HOME THE DAY OF YOUR APPOINTMENT

Mount St. Mary's Hospital and Health Center - 5300 Military Road - Lewiston, NY 14092 - 716.297.4800