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Request an Imaging Appointment

Please use the form below to submit your request for non-urgent radiology appointments at one of our Henry Ford Macomb locations. Please have your prescription (order) in front of you when completing the form. Our Radiology Scheduling team will respond to all internet inquiries via email Monday through Thursday between the hours of 6:30 a.m. – 8 p.m. and on Friday between the hours of 6:30 a.m. – 5 p.m. Appointments are generally processed within one business day. Not all exams are offered at all locations.

* Asterisk indicates required field.

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About the Test
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If so please indicate which are included in your order
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If so, please indicate which you have allergies to
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If so, please indicate which device
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If so, please provide details
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