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Dear Provider,


Please download our Metro Diagnostic Imaging –

Referral Form (PDF) for easy referrals.


Once you have completed the form, you can save it and send it back as an attachement in an email to

or you can print it out and fax it back to 651.800.4819


For easier scheduling, please call us at 651.800.4818

or contact us by using our online form.


Our staff is looking forward to take care of your patients.

The Referral Form requires the use of the free Adobe Reader.

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