Did you know that CMI can do the scheduling for you? Just complete and fax the form below and we will contact the patient!
When scheduling an MRI, you have two options:
1. Use the attached form and fax to our scheduling center at (315) 792-9698. If the provider signs the bottom, this form can be used as a script or you can fax a script with this form. CMI will call the patient and set the appointment up for you. It is important that the patient’s demographic, insurance, order and referring provider information and contrast protocol screening (if pertinent) is complete and accurate.
2. You can contact by phone and speak to our Scheduling Specialists at (315) 792-1985 and schedule directly.
With Stats appointments please call!
Please note, that some referring offices, prefer that the patient hand-carry their MRI script and set up their own appointment. We can accommodate this as long as the referring office obtains insurance preauthorization for the study.
Referring providers can also obtain a pad of fax referral forms as well as CMI patient information pamphlets by contacting our Patient and Providers Relations Department at CMI at (315) 792-4666 or by using the “request materials” link on this page.
Major Insurances Accepted
FLEXIBLE FINANCING FOR SELF-PAY & HIGH-DEDUCTIBLE PLANS
Does your office need a pad of fax referral forms, MRI brochures or educational materials about MRI?
Our MRI brochures have all of the information that a patient needs in order to prepare for their MRI in addition to maps to all of our locations with phone numbers. Many patients find them helpful especially when they have not had an MRI previously. All of our brochures have photos of the Open MRI and the conventional MRI units.