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Schedule a MRI

If your doctor or provider has ordered an MRI, please use the form below to schedule your exam.

About MRI: A magnetic resonance imaging (MRI) uses a strong magnetic field and radio waves to create detailed images of the organs and tissues within the body, which help diagnose a variety of problems.
 
MRI Guidelines
  • MRI scans require a physician order
  • Your doctor may place this order electronically, or will provide a paper order from that you should bring with you to your appointment
  • A scheduling representative will be in contact with you to discuss any special instructions prior to the date of your exam

Step 1:  Complete the Form Below

Do you have a written order?:
Be sure to bring the order with you to your appointment.
Have you had any lab work in the past 6 weeks?:
Please select all of the implants or devices you currently have:









Please select any of the items below that apply to you:







Please indicate if you have had any of the surgeries or conditions listed below:




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