Referring Physicians
For Internal Use Only
Request a Username and Password
SSL is ON
Please Fill out the Form Below to Request a Username and Password to our Image (PACS) Web Server.
*Physician First Name
*Physician Last Name
*Physician Suffix
*Physician Email Address
*Organization/Group Name
NPI Number
Office Contact
*Physician Street Address
*Physician City
*Physician State
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
*Physician Zip
*Physician Phone
-
-
*PACS Image Portal
Yes
No
*Patient Report Portal
- Secure Downloadable and Printable .pdf File
Yes
No
NOTE:
We only offer full access to physicians that have directly referred patients stored in our database. Temporary or partial access is given at the discretion of Metropolitan Diagnostic Imaging Group, LLC.
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