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Call: 623-815-8200 & Fax: 623-815-8299
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MRI
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Ultrasound
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Mammogram
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Call: 623-815-8200 & Fax: 623-815-8299
Request Patient Film
Home
Patients
General Preparation Guidelines
Patient Forms
FAQs
Links & Resources
Physicians
Order Forms
Insurance List
Web Ambassador
About Practice
Careers
Providers
Services
MRI
CT Scan
PET/CT Scan
Ultrasound
X-Ray
Dexa
Mammogram
Nuclear Imaging
Testimonials
Locations
Services by Location
Contact Us
Schedule Online
Physician Login
Order Forms
Sun Radiology
Contents
Physicians
Order Forms
Below is a list of forms for referring physicians:
Sun Radiology Order Form
Podiatry Order Form
Urgent Care Order Form
What we offer
Services
MRI
more info
CT Scan
more info
PET/CT Scan
more info
Ultrasound
more info
X-Ray
more info
Dexa
more info
Mammogram
more info
Nuclear Imaging
more info
Our Locations
Choose your preferred location
16222 N. 59th Avenue Suite C-150, Glendale, AZ 85306
623-815-8200
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7200 W. Bell Road Building B, Glendale, AZ 85308
623-815-8200
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Name
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Date of Birth
Are you the patient?
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Insurance
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No Insurance
Other Insurance
AARP
AARP Medicare Complete
Aetna
AHCCCS Plans
Ancillary Care Services
Arizona Complete Health
Arizona Foundation for Medical Care
Blue Cross Blue Shield Arizona
Bridgeway Health Solutions
Bright Health
Bright Health
Care First AHCCCS/One Care
CareMore
Cash Pay
CHAMP VA
Cigna
Cigna CCC
Cigna Medicare Advantage
Cigna MIHS
Cigna Open Access Plus
CIGNA-HMO
CIGNA-PPO
CMDP
Core Choice
Corvel
Coventry
First Health
Fortified Provider Network
Health Choice
Health Choice Arizona
Health Choice Generations
Health Choice Integrated
Health Net
Health Net - AZ
Health Net Ambetter Plan
Health Net Federal
Health Smart
Humana Choice Care
Humana Commercial
Humana Medicaid
Integrated Health Plan
Maricopa Care Advantage
MedFocus
MedFocus
Medicare
Mercy Care
Mercy Care Advantage
Mercy Mariopa Integrated Care
Meritain Health
Motor Vehicle Accident
MultiPlan
MultiPlan / PHCS
NIA Magellan
One Call Diagnostics
Optum
Railroad Medicare
Tricare
UHC Community Plan
United Healthcare
United Healthcare Medicare Advantage
University of Arizona Health Plans
US Imaging Network
USA Managed Care
USA Managed Care
USAA
Veterans Affairs Patient Centered Community Care (VAPC3)
Workmen's Compensation
COMMENT
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13943 N. 91st Avenue Suite A-102, Peoria, AZ 85381
623-815-8200
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CT
Name
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*
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Are you the patient?
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Insurance
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No Insurance
Other Insurance
AARP
AARP Medicare Complete
Aetna
AHCCCS Plans
Ancillary Care Services
Arizona Complete Health
Arizona Foundation for Medical Care
Blue Cross Blue Shield Arizona
Bridgeway Health Solutions
Bright Health
Bright Health
Care First AHCCCS/One Care
CareMore
Cash Pay
CHAMP VA
Cigna
Cigna CCC
Cigna Medicare Advantage
Cigna MIHS
Cigna Open Access Plus
CIGNA-HMO
CIGNA-PPO
CMDP
Core Choice
Corvel
Coventry
First Health
Fortified Provider Network
Health Choice
Health Choice Arizona
Health Choice Generations
Health Choice Integrated
Health Net
Health Net - AZ
Health Net Ambetter Plan
Health Net Federal
Health Smart
Humana Choice Care
Humana Commercial
Humana Medicaid
Integrated Health Plan
Maricopa Care Advantage
MedFocus
MedFocus
Medicare
Mercy Care
Mercy Care Advantage
Mercy Mariopa Integrated Care
Meritain Health
Motor Vehicle Accident
MultiPlan
MultiPlan / PHCS
NIA Magellan
One Call Diagnostics
Optum
Railroad Medicare
Tricare
UHC Community Plan
United Healthcare
United Healthcare Medicare Advantage
University of Arizona Health Plans
US Imaging Network
USA Managed Care
USA Managed Care
USAA
Veterans Affairs Patient Centered Community Care (VAPC3)
Workmen's Compensation
COMMENT
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I agree to receive text messages for feedback requests.
5040 North 15th Avenue Suite 105, Phoenix, AZ 85015
623-815-8200
Schedule Online
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Visit Type
In-person
Virtual Visit
New Patient?
*
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Reason
*
- Select One -
PET/CT
MRI
Mammography
X-Ray
DEXA
Ultrasound
CT
Name
*
Email address
*
Mobile Phone Number
*
Date of Birth
Are you the patient?
Yes
No
Insurance
- Select One -
No Insurance
Other Insurance
AARP
AARP Medicare Complete
Aetna
AHCCCS Plans
Ancillary Care Services
Arizona Complete Health
Arizona Foundation for Medical Care
Blue Cross Blue Shield Arizona
Bridgeway Health Solutions
Bright Health
Bright Health
Care First AHCCCS/One Care
CareMore
Cash Pay
CHAMP VA
Cigna
Cigna CCC
Cigna Medicare Advantage
Cigna MIHS
Cigna Open Access Plus
CIGNA-HMO
CIGNA-PPO
CMDP
Core Choice
Corvel
Coventry
First Health
Fortified Provider Network
Health Choice
Health Choice Arizona
Health Choice Generations
Health Choice Integrated
Health Net
Health Net - AZ
Health Net Ambetter Plan
Health Net Federal
Health Smart
Humana Choice Care
Humana Commercial
Humana Medicaid
Integrated Health Plan
Maricopa Care Advantage
MedFocus
MedFocus
Medicare
Mercy Care
Mercy Care Advantage
Mercy Mariopa Integrated Care
Meritain Health
Motor Vehicle Accident
MultiPlan
MultiPlan / PHCS
NIA Magellan
One Call Diagnostics
Optum
Railroad Medicare
Tricare
UHC Community Plan
United Healthcare
United Healthcare Medicare Advantage
University of Arizona Health Plans
US Imaging Network
USA Managed Care
USA Managed Care
USAA
Veterans Affairs Patient Centered Community Care (VAPC3)
Workmen's Compensation
COMMENT
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Insurance Group #
Insurance Phone #
Date
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Time
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I agree to receive text messages for feedback requests.
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