Request an Appointment

Please complete the form below and a scheduler will contact you within 1-2 business days to confirm your appointment. A doctor's order must be faxed to us in order to schedule any appointment other than a screening mammogram or x-ray. If you would like immediate assistance, please call 317-972-9669 or 800-400-9729 option 2, Mon. – Fri. 8 am – 5 pm.

Walk-ins ONLY for general x-rays. Be sure to bring your doctor’s order to one of our imaging centers during the hours of operation. Click here for locations and hours.

Please click here to schedule a screening mammogram. For all other exams please submit the form below.

Patient Physician
Phone Email
DEXA Bone Density
Nuclear Medicine
No Preference
Early Morning Mid Morning Afternoon Evening Any Time
Upload a photo or scan of your insurance card. (optional)
Yes No
Doctor's order is required for all appointments except screening mammograms.
If you need to cancel your appointment, we would greatly appreciate if you would provide 24 hours notice.