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INFORMATION
FOR PROVIDERS
Q. How do I reach a Radiologist during business
hours?
A. To reach a Radiologist between 9am-5pm, M-F please call: 617-665-1599
Q. How do I schedule an Interventional Procedure?
A. To schedule an Interventional procedure during business hours
(9am-5pm), M-F, please call: 617-665-1599
How
To Schedule a CHA Radiology Study (pdf)
IV
Contrast Screening Form (pdf)
OB-GYN
Ultrasound Imaging Requistion Form (pdf)
Mammography
Same-Day Screening Criteria (pdf)
Breast
Imaging Order Form (pdf)
MRI
Outpatient Requisition Form (pdf)
MRI
Safety Form (pdf)
Upper
GI Series Preparation Instructions
(pdf)
Cardiac CTA forms:
CTA
Referral worksheet for providers (pdf)
Pre
CTA exam instructions for patients (pdf)
Post
CTA exam instructions for patients (pdf)
VCUG exam forms:
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