Prime Medical

🎅🎄 Season’s Greetings & Happy Holidays!| WE'RE OPEN 10 AM – 3 PM ON ALL HOLIDAYS| CT SCANS| X-RAYS| ULTRASOUND| FLUOROSCOPY| BARIUM STUDIES| HSG SERVICES AVAILABLE| RESULTS WITHIN 4 HOURS| Emergency Scans Available| Call Now: (876) 926-2012| All Insurance Plans Accepted

PRIME Medical Request Form

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PATIENT’S INFORMATION

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DOCTOR’S INFORMATION

EXAMINATION REQUESTED(Please tick / indicate below)

CT Scan
CT Angiogram
Ultrasound
Fluoroscopy
PROCEDURES
X-Ray
MRA MRV
MRI
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BLOOD TESTS

Hematology Panel:
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