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For Physicians Only

Click on either of the links below to access the Imaging Services Scheduling form. You may use the online version to fill out electronically or the print-only version.

Note: In either case, you will need to print out the completed form and fax it to the fax number on the form.

Imaging Services Scheduling Form - electronic version

Imaging Services Scheduling Form - print-only version
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DeKalb Medical Hillandale, 2801 DeKalb Medical Parkway, Lithonia, GA 30058 | For General Information: 404.501.8000 | For Patient Inquiries: 404.501.8611
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