TMC Advanced Imaging

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Important Forms

 

In order to view and print these forms, you must have Adobe Acrobat Reader. If you need Acrobat Reader, you can download it for free below.

Physicians: Download the Fax Scheduling Forms to your right.

The Fax Scheduling Form needs to be filled out and faxed to our office before your patient's scheduled appointment. Please download the PDF file, print to your printer, fill out the form and fax to Central Scheduling at 480.767.9035.

Instructions:
To download the Fax Scheduling Form, please click on the Download Form link to your right.

 

Pre-Authorization Form (please contact your Marketing Representative to discuss. This form MUST accompany your fax scheduling form).

DOWNLOAD PRE-AUTHORIZATION FORM HERE.

 

 

 

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General Fax Form HERE

Small Fax Form HERE