Nationwide Access To Affordable Imaging
Referral Form Downloads
Wanting to refer a patient?
To refer a patient to our program, you can download a referral form below. Referrals can be sent to our scheduling fax at 855-345-5222. Prefer using a referral pad? Please contact us to request a referral pad and we will be happy to send you as many as you need at no cost.
Specialized Imaging Order Forms
Contact Us
RadiologyAssist
2100 Valley View Ln, Suite #490,
Farmers Branch, TX 75234
Phone | : (855) 346-5152 |
Fax | : (855) 345-5222 |
Hours : Mon-Fri 7-6pm (CST)
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