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Order Form

Print-Ready Order Form

Please use this print-ready pdf to place an imaging order.

DOWNLOAD ORDER FORM

REQUEST AN APPOINTMENT

*** All appointments require an order from a healthcare provider. ***

Please fax your order form to us at 231.714.0077 before scheduling an appiontment. Once your order form has been faxed, give us a call at 231.714.4306 to schedule your appointment.