|
|
|
|
|
|
|
|||
|
|
|
|
|
|
|
|
||
|
|
|||
|
|
|||
|
|
|||
Dalton Imaging Site Location other imaging centers 
|
 click here for larger picture 
|
Open MRI of Dalton 1507 Professional Court Dalton, GA 30720 706-277-0700 Fax 706-277-0076 |
|
Information needed to schedule an MRI or CT: · Full name of patient · Date of birth · Social security number · Home/Work telephone numbers · Doctors name · Type of study · Reason for study · Type of Insurance · Insurance information |
Scheduling contact information: Contact Imaging Center directly at: 706-277-0700 Pre-Registration FormsOffice Financial Policy Form (Word Document)Office Financial Policy Form (PDF Format) Patient Information Form (Word Document) Patient Information Form (PDF Format) Patient Questionnaire Form (Word Document) Patient Questionnaire Form (PDF Format) Patient Registration (Word Document) Patient Registration (PDF Format) |
|
Traci Johnson at 706-277-0700, for General Insurance Information. |
|
General Contact Information: Traci Johnson at 706-277-0700, for General Information. Annette Daniel also at 706-277-0700, for Marketing assistance. |
|
insurance | contact us | associates area | management area |
