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Schedule a Diagnostic X-Ray

If your doctor or provider has ordered a diagnostic x-ray, please use the form below to schedule your exam.

About x-ray: X-ray imaging is used for diagnosing various medical problems in bones, chest, intestines and for other specialized needs.  X-rays are the most frequently-used form of medical imaging. 

X-ray Guidelines
  • X-rays require a physician order
  • Your doctor may place this order electronically, or will provide a paper order form that you should bring with you to your appointment
  • If you are pregnant or may be pregnant, please tell your doctor or technologist

Step 1:  Complete the Form Below

Is the ordering physician a Deaconess physician? 
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