Please complete the following form to apply for automatic faxing of radiology reports to your practice. You will be contacted once your account has been activated and is ready for use.

To verify your identity, you will also be asked to submit a signed authorization on your personal letterhead. This will be cross-checked against your practice location and provider number. This is required to safe-guard against any unauthorized access of patients results.

Tick the checkbox below to prove you’re a human