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Scheduling
We are here to make your job easier. We offer several
scheduling options to help streamline the process of
scheduling a patient with us. You may download and print
our requisition form by clicking on the link below.
This form is valid for both locations and for all modalities.
For the convenience of your patient, maps to both facilities
and patient prep information are detailed on the back
of the form.
Once you have filled the form out, fax it to the appropriae location:
- Scottsdale: Fax form to 480-342-9730
- Ahwatukee: Fax form to 480-940-9730
We will need
a signed physician order before performing the exam.
Patient
Requisition Form
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