For Referring Physicians

Referring Physicians Resources
	Imaging Examinations
	Insurance Accepted
	Appropriateness Criteria
	Contrast Guidelines
	PACS Login Page
	Download CPT Form
	Download Scheduling Order Form
	Patient Preparations
	Contact / Location Information
	Our Radiologists

Please download, print and complete the service order form provided below. You can contact us or fax the form to our scheduling center at:

Delray Beach Location Fax: 561.496.6936
Boynton Beach Location Fax: 561.424.0888

Download Scheduling order form

Forms Require Free Adobe Reader Software - download here if needed

Insurance Accepted

If your office participates with a managed care organization not listed above, contact us to verify if we accept the plan.

Acute Abdominal Pain	Neuroendocrine
Acute MI	Non Traumatic Knee Pain
Acute Respiratory Illness	Non - Palpable Breast Mass
Ataxia	Onset Acute Flank Pain
AVN Hip	Osteoporosis
Blunt Abdominal Trauma	Palpable Abdominal Mass
Bone Tumors	Pancreatitis
Breast Microcalcifications	Plexopathy
Cerebrovascular Disease	Pulmonary Embolism
Chronic Foot Pain	Renal Failure
Chronic Neck Pain	Renal Vascular Hypertension
Chronic Wrist Pain	Rib Fractures
Colonrectal Cancer Screening	Right Lower Quadrant Pain
Congestive Heart Failure	Right Upper Quadrant Pain
Dementia	Routine Chest X - Ray
Dyspnea	Screening for Pulmonary Metastasis
Dysphagia	Small Bowel Obstruction
Epilepsy	Soft Tissue Mass
Head Trauma	Solitary Pulmonary Nodule
Headache	Staging BREAST Cancer
Hematuria	Suspected Ankle Trauma
Hemopytosis	Suspected Aortic Dissection
Indeterminate Renal Mass	Suspected Liver Metastasis
Jaundice	Suspected Spine Trauma
Left Lower Quadrant Pain	Vertigo and Hearing Loss
Liver Lesion Characterization	Visual Loss
Low Back Pain
Myelopathy

Forms Require Free Adobe Reader Software - download here if needed