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Patient Resources

Insurance and New Patient Paperwork

Price Hoffman Stone accepts most insurance plans including automobile insurance. In addition we offer affordable SELF PAY pricing for our exams. If you have a question about your particular insurance benefits or our SELF PAY rates please contact our office directly.

Click on the button below to access forms in PDF
Auto-Work Comp Consent Form
(opens in a new tab)
Breast Biopsy Consent Form
(opens in a new tab)
Chest X-Ray Medicare Patient Only
(opens in a new tab)
Cyst Aspiration Consent
(opens in a new tab)
DEXA Patient History Questionaire
(opens in a new tab)
Groin Biopsy Consent
(opens in a new tab)
HIPPAA Information & Signature Page
(opens in a new tab)
Male Mammo Form
(opens in a new tab)
Mammo Questionaire (Front)
(opens in a new tab)
Patient Record Release Form
(opens in a new tab)
Thyroid Biopsy Consent Form
(opens in a new tab)
Possible Pregnancy Release Form
(opens in a new tab)

Price Hoffman Stone Radiology Office

2191 9th Ave North, Suite #150
St. Petersburg, Florida 33713
Ph: (727) 898-3647 Phone
Fax: (727) 823-3080 Fax
Alt Ph: (727)896-2273
Alt Fax: (727)895-2554
Directions to PHS Radiology

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  • Women’s Imaging
  • About
    • Our Radiologists
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  • Home
  • Imaging Services
  • Women’s Imaging
  • About
  • Resources
  • Location

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