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Referring Physicians Forms

To save time and make it easier for referring physician offices to exchange information with RMI, order procedures, and manage other administrative processes, we have provided the forms below.

Download a PDF of Our Referral Form

Click here to request Order Referral Forms & Contrast

 

Regional Medical Imaging, P.C. | 3346 Lennon Road, Flint, Michigan, 48507 | (810) 732-1919
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