This form is strictly intended for Health Care Professional use.
If you are the patient and you have already received a referral, call our office today to schedule your appointment.
We sincerely apologize for any inconvenience this may cause but our referral form feature is not currently working properly on the site. We are working to get it reinstated as quickly as possible. Please call our office if you need to schedule a patient. Again, we are deeply sorry about this and we will have it resolved as quickly as possible. Please call <a href=“tel:+8015630333”>801.563.0333</a> should you have any questions.
SCHEDULE AN MRI
Please be sure to include a phone number for your patient and we will contact them and get them scheduled as soon as within an hour.