CPMSR

MAKE AN APPOINTMENT

    Appointment Form

    Please complete this form to request an appointment. A team member will contact you as soon as possible.

    Appointment Information


    Contact Information







    Appointment Process

    • Please clearly write your name, address and phone number on your request form.
    • Please attach radiology reports, axial CT scans (CT-Scan), or Magnetic Resonance Imaging (MRI) documents. Additionally, these results must have been obtained within the five years preceding your appointment.
    • Please be advised that results on CD are insufficient for scheduling an appointment. Additionally, please anticipate wait times may exceed 6 months.
    • Please clearly write your name, address and phone number on your request form.
    • Please attach radiology reports, axial CT scans (CT-Scan), or Magnetic Resonance Imaging (MRI) documents. Additionally, these results must have been obtained within the five years preceding your appointment.
    • Please be advised that results on CD are insufficient for scheduling an appointment. Additionally, please anticipate wait times may exceed 6 months.
    • Please clearly write your name, address and phone number on your request form.
    • Please attach radiology reports, axial CT scans (CT-Scan), or Magnetic Resonance Imaging (MRI) documents. Additionally, these results must have been obtained within the five years preceding your appointment.
    • Please be advised that results on CD are insufficient for scheduling an appointment. Additionally, please anticipate wait times may exceed 6 months.
    • Please clearly write your name, address and phone number on your request form.
    • Please attach radiology reports, axial CT scans (CT-Scan), or Magnetic Resonance Imaging (MRI) documents. Additionally, these results must have been obtained within the five years preceding your appointment.
    • Please be advised that results on CD are insufficient for scheduling an appointment. Additionally, please anticipate wait times may exceed 6 months.