Patient Resources
Patient Portal
Patient portals allow for patients to access medical records, and communicate securely to their radiologist, among other services. The portal is available in both English and Spanish. If you need a patient portal account, you can also click this link and press the “Request an Account” button, or call our office to get started.
Additional Portal Access Forms
Child Proxy Form
To sign up for access to your child’s Patient Portal record, please complete both pages of this Child Proxy Form and return it to the included address
Adult Proxy Form
To request access to the Patient Portal record of an adult whose medical care you help manage, please
complete this form.
Billing & Insurance
Insurance Information
A full list of accepted insurance companies and plans. Southwest Diagnostic Center for Molecular Imaging is pleased to provide full insurance billing and claim resolution for many major insurance companies
Online Bill Pay
Our online Bill Pay feature utilizes RoyalPay credit card processing system. A RoyalPay account is not required to process your payment. RoyalPay accepts all major credit/debit cards.
Online Forms
Take Our Patient Survey
Please let us know how we’re doing. We want to see what we’re doing well, and what we can improve on to insure we’re providing the best quality care to patients.
Consent to Treatment of a Minor
If your child is getting an exam and is under 18 years of age, you must fill out this form and bring it with you on the day of your visit.
SWDIC on YouTube
Our video library is a great resource to see our facility, equipment and our staff. Get a first look at Southwest Diagnostic Center for Molecular Imaging before your visit!
Request for Images / Medical Records and Release Forms
Request for Images / Medical Records and Release Forms
Authorization for Release of Medical Images, Reports, and Medical Records
If you need to send us any results, images or records, or you need us to send any of those to another practice, you need to fill out this form.
Medical Records/File room Phone: (214) 345-8457
The above forms are in PDF format and can be viewed using Adobe Acrobat Reader. If you do not have this application, visit the Adobe site at www.adobe.com to download a free copy.
Patient Information
Independent Diagnostic Testing Facility(IDTF) Performance Standards