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Schedule An Appointment
Insurance & Grants
Request Your Images/Reports
Images/Reports Request Form
If you need a copy of your patient letter let us know how you'd like to receive it
Delivery via Mail
If you need a copy of your report sent to your physician please enter their name and fax number
If additional imaging or follow up has been advised by your physician, please let us know where you want your images sent:
If you answered facility please enter the name and address of the facility you want them sent
Do you need the password for your emailed letter resent?
Thanks for submitting!
If you received your letter electronically the password
is your first name and year of birth ex Mary1968.
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