Preregister Online

Please complete the following registration form. You will be given a chance to review this information, and make additions or corrections, at the time of your appointment.

Part 1: Exam Location

At which Metro Imaging office is your exam scheduled?

Part 2: Patient Information

Date of Birth
Gender
Marital Status
Is this visit related to an injury?

Part 3: Insurance Information

Please bring your insurance card with you on the day of your appointment.

Is the insurance policy holder someone other than the patient?

Part 4: Policy Holder Information

Please fill out this section ONLY if the policy holder is someone other than the patient.

How is the patient related to the policy holder?
Date of Birth
Gender
Is the patient a minor who will be accompanied by a Responsible Party who is NOT the Policy Holder?

Part 5: Guarantor's Information (Responsible Party)

Please fill out this section ONLY if the patient is a minor and ONLY if the patient will be accompanied by a Responsible Party who is not the Policy Holder. Patients under the age of eighteen must be accompanied by a parent or legal guardian.

How is the patient related to the Guarantor?

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Our Patients Tell Our Story Best

I am going to contact my physician and tell him to start referring patients to Metro. Since many people now have high deductibles, the cost for my exam was 1/3 the cost of just the technical component at the hospital. And I was offered a 40% discount if I paid at the point of service. I also didn't have the issue of parking and waiting like I have experienced in the past with hospital based radiology departments.

- West County Patient

I could not have had a better experience today. I came in to your center extremely nervous, and your staff made me feel like family before I left. This was such a pleasant experience; I have already told a dozen of my co-workers to visit your location if they ever need your services.

- South County Patient

I only go to Metro Imaging, even when the doctor wants me to go to his or her radiology department. Onsite results plus VIP service are prime reasons why I always come to Metro imaging for my radiology tests.

- North County Patient

I had been having my mammograms at a hospital for 20 yrs & decided to go to your facility this time since you are doing 3D at no additional cost to the patient. I am so glad I chose Metro Imaging.

- St. Peters Patient

It was a great experience. I was there for a routine x-ray and didn't have an appointment. I was only there about 35 minutes, what a pleasant alternative to going to the hospital for an x-ray, not to mention the cost savings! I will always choose Metro Imaging over the hospital.

- Richmond Heights Patient

Metro does an EXCELLENT job. I will never return to the hospital-based system again. I recommend Metro to all of my friends.

- St. Peters Patient

I have been in medicine for over 20 years and I have never seen or used a better facility. Efficient, professional, courteous, lower cost – better than any hospital I have seen, and I have used all in the County area as a patient and physician. I have sent my patients to several facilities, outpatient and hospital, nothing better. So all in all, Metro is the best in town for certain.

- West County Patient

OnSite Results eliminates what could be days of uncertainty while waiting for a follow-up from a physician. I received my results within minutes of finishing the exam.

- Richmond Heights Patient

Metro Imaging provides professional diagnostic imaging services in a convenient, service-oriented setting. Metro Imaging has been the model for outpatient imaging in the greater St. Louis area since 1994. Our five locations feature state-of-the-art technology, a friendly and caring staff, easy parking and a warm, upscale environment. With our exclusive OnSite Results, the choice is yours and the results are now.