• This form can be used to securely upload scripts, medical records or reports.
  • Drop files here or
    Accepted file types: jpg, jpeg, gif, png, pdf.
  • If known
  • Please provide a phone number for us to contact you in case we have a question.
  • This field is for validation purposes and should be left unchanged.

Instructions

Please use the secure upload form on the left to upload your physician script or order to RadiologyAssist.

Appointment Scheduling

Appointments are scheduled within 4 business hours of uploading your referral. If you have not completed an appointment request as yet, please complete an appointment request after uploading the document.

Support

For support, please call 1-855-346-5152. We are available Monday – Friday 9am to 4:30pm