If you would like to pursue treatment for Uterine Fibroid Tumors with Central Texas ExAblate, or if you have questions about the MR Guided Focused Ultrasound Procedure, please download and fill out the forms below:

HIPPA FORMS

Notice of Privacy

Content For Use and Disclosure & Acknowledgment of Receipt


INSURANCE FORMS

Insurance Toolkit Link


PATIENT FORMS

Release Form

ExAblate Candidate Checklist

Medical History Questionnaire

Preparations for ExAblate Procedure