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X-ray order form

Complete the order below and our scheduling team picks it up straight away, in-clinic or mobile to the patient.

A provider's order is required. This form goes straight to our scheduling team. If you would rather work on paper, download the X-ray order form (PDF), fill it in and fax it to (406) 206-5015.

Other ways to order: the RapidRAD portal, the printable order form by fax to (406) 206-5015, or by phone. See all four options.