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INSURANCE HELP

Insurance pre-authorization guide – useful contact info your scheduler's (pdf)

AIM imaging guidelines (pdf)

CMS and AIM PET/CT criteria check list for Alzheimer’s scans (pdf)

CODING HELP

PET/CT Medicare Part B CPT and ICD-9 code chart (pdf)

DOWNLOAD FORMS

MRI/MRA scheduling form (pdf)

Breast MRI scheduling form (pdf)

PET/CT scheduling form (pdf)

ORDER FORMS

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  • Call us at (541) 608-0350

  • Fax us at (541) 608-0376

Scheduling Forms and Patient Prep Materials - Online Order Form

 Practice Name
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 I would like to order the following:

 MRI/MRA scheduling form (come in pads of 25)  (quantity)
 Breast MRI scheduling form (come in pads of 25)  (quantity)
 PET/CT scheduling form (come in pads of 25)  (quantity)
 MRI patient prep info  (quantity)
 Breast MRI patient prep info  (quantity)
 PET/CT patient prep info  (quantity)

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