ONLINE APPOINTMENTS
* Indicates Required Field
Patient's Name
*
Date of Birth *
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Home Phone
*
Mobile/Other Number *
Email Address *
Patient's Weight
Insurance Company
Policy Number
Policy Holder
(if not the patient)
Ordering Doctor
Primary Doctor
Investigations That Needs to be Scheduled
MRI
CT
Ultrasound
X-Ray
Bone Densitometry (DEXA)
Mamography
P.E.T. Scan
Vascular Ultrasound
Others
Reason for appointment
The timing of the appointment and the time taken to avail the test will
completely depend the patient load during the doctor availability.
Patients Login
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