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Referring Office 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.

Our Referral Forms

(Click to download a PDF)

Ordering Forms and Contrast

To order referral forms or contrast, please e-mail supplies@rmipc.net. Please be specific which order form(s) you need, and indicate your office name, doctor name, and any other relevant information.

Important RMI Documents:

See how RMI's pricing stacks up against the competition.

Curious about how our prices compare with other imaging centers in mid-Michigan? For those with high deductibles or no insurance, we’re confident you’ll find that RMI is significantly more affordable.
Our time-of-service cash pay saves you up to 50% more compared to other mid-Michigan imaging providers.

Please visit and challenge your patients to take the RMI Challenge.

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.

Our Referral Forms

(Click to download a PDF)

Ordering Forms and Contrast

To order referral forms or contrast, please e-mail supplies@rmipc.net. Please be specific which order form(s) you need, and indicate your office name, doctor name, and any other relevant information.

Important RMI Documents:

See how RMI's pricing stacks up against the competition.

Curious about how our prices compare with other imaging centers in mid-Michigan? For those with high deductibles or no insurance, we’re confident you’ll find that RMI is significantly more affordable.
Our time-of-service cash pay saves you up to 50% more compared to other mid-Michigan imaging providers.

Please visit and challenge your patients to take the RMI Challenge.

 

News Items & New Services

Discounts and Payment Plans

RMI provides options to help uninsured or underinsured patients manage the cost of medical imaging procedures.
More Information

CT Lung Cancer Screening

RMI now offers a test that can reduce the risk of lung cancer mortality in patients with a cigarette smoking history.
Read More
 

RMI Women's Services

Quality diagnostic and preventative care ... with a focus on women.
Women's Services
 
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