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Call: 623-815-8200 & Fax: 623-815-8299
Home
Patients
Physician Portal
Physicians
About Practice
- Careers
- Providers
- Arizona
- Arizona 2
Services
- MRI
- CT Scan
- PET/CT Scan
- Ultrasound
- X-Ray
- Dexa
- Mammogram
- Nuclear Imaging
Testimonials
Locations
- Services by Location
Contact Us
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Check-in forms

English Check-in form Spanish Check-in form

Please print the form, fill them and bring them along during your visit.

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16222 N. 59th Avenue Suite C-150, Glendale, AZ 85306

623-815-8200

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13943 N. 91st Avenue Suite A-102, Peoria, AZ 85381

623-815-8200

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Online appointments are available between 8 AM - 5 PM, appointments made past 5 PM will be attended to the next working day.

Please wait for a confirmation of your appointment from our office through mail or a call.

Request Appointment

Visit Type

In-person
Virtual Visit

New Patient?*

Yes
No

Reason*

Name*

Email address*

Mobile Phone Number*

Date of Birth

Are you the patient?

Yes
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Date*

Time*

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Insurance *

COMMENT

I agree to receive text messages for feedback requests.

Notice

Online appointments are available between 8 AM - 5 PM, appointments made past 5 PM will be attended to the next working day.

Please wait for a confirmation of your appointment from our office through mail or a call.

Request Appointment

Visit Type

In-person
Virtual Visit

New Patient?*

Yes
No

Reason*

Name*

Email address*

Mobile Phone Number*

Date of Birth

Are you the patient?

Yes
No

Insurance

Date*

Time*

Insurance ID #

Insurance Group #

Insurance Phone #

Insurance *

COMMENT

I agree to receive text messages for feedback requests.

Notice

Online appointments are available between 8 AM - 5 PM, appointments made past 5 PM will be attended to the next working day.

Please wait for a confirmation of your appointment from our office through mail or a call.

Request Appointment

Visit Type

In-person
Virtual Visit

New Patient?*

Yes
No

Reason*

Name*

Email address*

Mobile Phone Number*

Date of Birth

Are you the patient?

Yes
No

Insurance

Date*

Time*

Insurance ID #

Insurance Group #

Insurance Phone #

Insurance *

COMMENT

I agree to receive text messages for feedback requests.

Notice

Online appointments are available between 8 AM - 5 PM, appointments made past 5 PM will be attended to the next working day.

Please wait for a confirmation of your appointment from our office through mail or a call.

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Sun Radiology, Glendale, AZ

Phone (appointments): 623-815-8200 | Phone (general inquiries): 623-815-8200

Address: 16222 N. 59th Avenue, Suite C-150, Glendale, AZ 85306

Sun Radiology, Peoria, AZ

Phone (appointments): 623-815-8200 | Phone (general inquiries): 623-815-8200

Address: 13943 N. 91st Avenue, Suite A-102, Peoria, AZ 85381

4.85^/5
(20 reviews)

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