Name: Other Imaging | GetCareMD
Price: 30.00 USD
Availability: InStock

Please explain why you need this imaging:*

Do you have any medical conditions?*

Yes
No

Please explain:*

Are you pregnant or breastfeeding?*

Yes
No

Imaging Center Name*

Imaging Center Address*

Street Address Address Line 2 City State ZIP

Imaging Center Phone*

Do you want a copy of your imaging/lab result sent to your PCP?*

Yes
No

Physician Name*

Physician Address*

Street Address Address Line 2 City State ZIP

Physician Phone*

Before You Continue - Please Review Our Informed Consent Agreement

By continuing this process and clicking next below, you are indicating that you have read and agreed to our terms of use and privacy policy. These documents include information about relevant terms and conditions in detail. Some basics include:

In order to use our site, you must be 18 years of age or older, and by continuing this process and clicking next below, you affirm that you are at least 18 years of age.
Additionally, you acknowledge that you understand you’re engaging in an online medical consultation and that you hereby consent to receive healthcare services from one of our medical providers (MD, PA, NP, or DO).
You understand that our healthcare providers reserve the right to deny care for any reason.
You acknowledge that you have a complete understanding of the risks and advantages associated with online medical consultations.
You acknowledge that you have a complete understanding of the risks and advantages associated with online medical consultations.

Disclaimer Agreement*

I have read and agree to the informed consent agreement.

Comments

This field is for validation purposes and should be left unchanged.

Services

Other Imaging

Before You Continue - Please Review Our Informed Consent Agreement

Get in Touch

Online

24 Hours a Day