ORDER X-RAY

To place an order for an X-ray, please call (844) 469-7291 first to speak to our X-Ray Schedulers and have them schedule an appointment and then fax the completed order form to our HIPAA compliant fax number.

Toll Free: 1-844-GO-XRAY-1 OR 1-844-469-7291

Click on button below to download order form. Once completely filled out, please fax to our HIPAA Compliant Fax Number
Fax: 928-366-1078

Download X-Ray Order Form