Skip to main content Skip to home page

Schedule an MRI

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.  These images help doctors diagnose a variety of problems.

If your doctor or provider has ordered an MRI, please use the form below to schedule your exam.
 
MRI Guidelines
  • MRI scans require a physician order
  • To schedule an MRI of the heart or breast call 812-842-3063
  • 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

Is your ordering physician a Deaconess physician:
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:
Top Back to top