Make an Appointment

To request an appointment you can call or fax us, or complete the form below and we will contact you within 1 business day to schedule your appointment. Please see office hours on the right.

Diagnostic Imaging +353.1.5262060
Diagnostic Imaging Fax +353.1.5262061

Online Appointment Form

Your Name

First Name:

Last Name:

Contact Information

Daytime Phone:

Evening Phone:

Best Time to Call:

Your Email:

Other Information

Referring Physician Name (first/last):

Have you been to SSC before?: Yes No

Your Date of Birth:

Examination Type

Please select the examination(s) you would like to schedule:

MRI

Bone Densitometry

Digital Radiography

Ultrasound

CT Scan

Appointment Time

Day of Week: Any Day Monday Tuesday Wednesday Thursday Friday

Time of Day: Morning Afternoon evening

When to Book: First Available Within a Week Within a Month

 

When you call to schedule an appointment please have your prescription in front of you as you will be asked for the following information:

• Type of exam ordered.
• Diagnosis.
• Information on any prior films of the area being scanned.
• Your referring physician's name, address, phone and fax number.
• Patient name, address, home or business contact number.