Rochester General Imaging Brochure Request - Rochester NY

RGHS Ambulatory Care Logo

Rochester General Imaging

Phone: (585) 922-XRAY (9729)

Imaging Patient Brochure Request

Rochester General Imaging offers a variety of patient brochures about our services. You and/or your practice can request brochures using the form below.

Your request will be processed within 24 hours during regular business hours, Monday-Friday 8:00 am- 5:00 pm. If you do not hear from us by phone or email to confirm your request, please call us at (585) 922-XRAY (9729).

* = Required field

 

PROVIDER INFORMATION

* Provider Name:

* Practice Name:
Address and Suite:
City:
State:
Zip / Postal Code:
* Phone:
* Email:
(valid email required)
 

BROCHURE INFORMATION

* Brochure(s) Requested:
Abdominal Ultrasound
Balloon Kyphoplasty
Barium Enema
CT Scan
DXA Scan
MRI
Pediatric
Pelvic Ultrasound
PET/CT
Upper GI
Uterine Fibroid Embolization (UFE)
Women's Imaging
Imaging Map (tear pads come in sets of 50)

* Quantity:
 

TERMS OF USE

By agreeing to the terms of use for online forms, you will enter a secure area of our site. Rochester General Imaging will be held harmless should your electronic message not be transmitted due to technical problems. Rochester General Imaging is HIPAA-compliant. Individually identifiable information is encrypted and your message will not be forwarded to other parties outside of our organization. The information will be used only by Rochester General Imaging.

 

PLEASE NOTE

You must accept the terms of use in order to process your request(s) online.