For Referring Physicians
Please download, print and complete the service order form provided below. You can contact us or fax the form to our scheduling center at:
Delray Beach Location Fax: 561.496.6936
Boynton Beach Location Fax: 561.424.0888
Download Scheduling order form

Forms Require Free Adobe Reader Software - download here if needed
Insurance Accepted
- Aetna
- Amerigroup Community Care
- Ameriplan Health
- AvMed Health Plan
- Beech Street
- Blue Cross Blue Shield
- Care Plus Health Plans
- Cigna
- Coventry/First Health/Summit/Vista
- Cypress Care
- Evolutions
- Freedom Health Plan
- Galaxy Health Network
- GHI/Emblem Health
- Health Care District
- Humana
- Humana Military Healthcare Services (Tricare)
- Integrated Health Plan
- Med-Eval
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- Medicare
- Medicaid
- MedFocus
- MedSolutions
- Multiplan/PHCS
- National Imaging Associates
- Neighborhood Health Partnership
- One Call Medical
- Prime Health Services
- Railroad Medicare
- Sunshine State Health Plan
- The National Radiology Network
- Three Rivers Provider Network
- United Healthcare/Americhoice/Oxford Health Plans
- Universal Health Care
- USA Managed Care
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If your office participates with a managed care organization not listed above, contact us to verify if we accept the plan.

American College of Radiology ACR Appropriateness Criteria

Forms Require Free Adobe Reader Software - download here if needed
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