Patient Imaging History Card

Download temporary patient imaging card:
To order a Patient Imaging History Card, complete the form below, and Toshiba will mail you a card for your files, as well as a wallet sized card to bring to your exam. In the event you need this for an upcoming medical visit, you will also be able to download temporary versions of the cards while your order is being fulfilled. Your contact information will be kept private and will not be used for any other purposes.