Med Scan :: A Whole New World

Our friendly and knowledgeable staff make every effort to respond to your healthcare needs. To request an appointment you can call us, or complete the form below and we will contact you within 1 business day to schedule your appointment. Please see below for office hours and times of specific procedures.
Patient Demographics
Patient's First Name:

Patient's Last Name:
	First Time at MedScan Prior Patient
Date of Birth (mm/dd/yy):


Daytime Phone Number:

Evening Phone Number:

Best time to reach you by phone:

Email Address:


Referring Physician
First name
Last name
Office Contact name
Office Contact phone



Insurance Company
Insurance ID number
Pre-authorization number (if needed)


Choose Location Manhattan Brooklyn

Please check the examination(s) you would like to schedule:	PET/CT whole body PET/CT brain PET/CT bone scan PET/CT scan CT scan CTA scan Lung Screening Cardiac Scoring


Appointment Preferences

Day of Week:	Any Day Monday Tuesday Wednesday Thursday Friday Sunday

Time of Day:	Any Time 7am-11am 11am-2pm 2pm-5pm 5pm-7pm After 7pm

When would you like your appt:	First Available Within 1 Week Within 1 Month

Comments

PET/CT

CTA

	Our Quality Service

	State-Of-The-Art Facility

	Common Indicators

	Risk Factors

	Our Medical Staff

Physicians Log in

Doctors click here to access Image Reports system.

To receive notification that your patients Images/ Reports are available online please send us your email address and you will receive an automatic email notice

Patients

Since our inception in 2001, MedScan has continually sought to apply the most innovative methods in the field of Diagnostic Radiology

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