Instructions<\/h2>\n

Please complete this form to get scheduled. Appointments are typically scheduled within a few hours of receiving a valid referral.<\/p>\n

Urgent Appointments<\/h2>\n

For urgent appointments, call
\n1-855-346-5152 during business hours to get an immediate appointment<\/p>\n

Referrals<\/h2>\n

Referrals are required by law for all diagnostic imaging. You will need to either provide a copy of your referral or contact information of a referring physician<\/p>\n

Locations & Pricing<\/h2>\n

You can look up locations and pricing before you request and appointment using our facility locator.<\/a><\/u>
\nFor multiple or complex studies, please give us a call to get an accurate quote<\/p>\n<\/div>\n<\/div>

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• Imaging Study Selected<\/h2><\/li>

  Study<\/label>

  <\/div><\/li>

  Body Part<\/label>

  <\/div><\/li>

  Type<\/label>

  <\/div><\/li>

  Facility Selected<\/label>

  <\/div><\/li>

  Study Code<\/label>

  <\/div><\/li>

  Cost Of Study Selected<\/h2><\/li>

  \nYour out-of-pocket cost : $0<\/span><\/b><\/span>
  \nThis will be the total out-of-pocket cost for this appointment.<\/span>\n\n