Upload Your Script

Step One

Our online script upload feature allows you to ensure we have a copy it prior to your appointment. SJRA matches your script with the test your physician ordered. We can do this after you arrive, but having the script uploaded in advance will save some time. Creating this record also helps in the event that you forget your script on the day of your appointment.

Simply upload a scan or photograph of your script from your physician before your visit. We accept the following formats: pdf, jpeg

 

Step Two

Choose the applicable forms from those provided below and fill it out prior to your visit. This is also a necessary verification process for our patients.

Thank you.

 

    Patient Name (required)

    Patient Birth Date (required)

    Patient Phone Number (required)

    You can expedite your visit by attaching a copy of your script:

    Please click on the button links below to view/download SJRA patient forms.

    General Forms

    Breast Imaging

    Body Specific CT Forms

    Body Specific MRI Forms

    Nuclear Medicine

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