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Patient Forms

For your convenience, please print and complete the applicable patient forms prior to your visit. Once completed, please bring to your appointment and present to the patient service representative at the time of registration.

All Patients

All Contrast and CT Exams

Mammography

Breast Ultrasound

Bone Denisty DEXA

MRI

Schedule Online

No longer available as of April 18. We appreciate your patience as we move to a new system to streamline patient access.

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Appointment Request

Fill out a quick form online with your contact information and we will have a representative give you a call to schedule your exam.

Request Appointment

Call to Schedule

Speak to a representative to schedule. Call (813) 874-3177.
Available Mon. – Fri. 7am – 7pm and Sat. 7am – 12pm.

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