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Patient X-Ray Record

Patient Name
Date

Date

Date

Cervical

Cervical

Cervical

AP

AP

AP

Lat

Lat

Lat

Thoracic

Thoracic

Thoracic

AP

AP

AP

Lat

Lat

Lat

Lumbar

Lumbar

Lumbar

AP

AP

AP

Lat

Lat

Lat

Other

Other

Other

Date

Date

Date

Cervical

Cervical

Cervical

AP

AP

AP

Lat

Lat

Lat

Thoracic

Thoracic

Thoracic

AP

AP

AP

Lat

Lat

Lat

Lumbar

Lumbar

Lumbar

AP

AP

AP

Lat

Lat

Lat

Other

Other

Other

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