Chesapeake Imaging
Schedule appts for Screening Mammography, Ultrasound, X-Ray and DEXA-Bone Scans:
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SCHEDULING:  855-455-8900
SECURE FAX:  855-455-8222

Ordering Guides

All forms below are in PDF format. Please click the link to open and download.

CT Ordering Guide (PDF)

CT CPT Codes

MRI CPT Codes

MRI Ordering Guide (PDF)

Personal Injury / Workers Comp Form (PDF)

Click for a PRINTABLE order forms

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