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    Request 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's 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 before you have an X-ray

    Diagnostic X-Ray Request

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