Request an Appointment - North Carolina Diagnostic Imaging

Request an Appointment - North Carolina Diagnostic Imaging

Our online "Request an Appointment" feature is for patients who have a signed physician's order and would like to schedule a future appointment. This feature is not intended for same-day appointments.

To request an appointment at North Carolina Diagnostic Imaging, please complete the form below and click "Submit." A scheduling representative will contact you to collect additional information and schedule your appointment.

For faster assistance, please call us at (833) 438-2674.

  • Do You Have A Physician's Order?

    We accept all physician-signed orders, even if they are on a hospital order form or prescription pad.

    If yes, please proceed. If not, please contact your referring physician to obtain an order.

  • Do you have a signed physician's order?
    Do you have a signed physician's order?
  • Your Information

  • The Best Way To Reach You

  • Preferred method of contact *
    Preferred method of contact
  • Primary phone number Primary phone number * - -
  • Alternate phone number Alternate phone number - -
  • Appointment Details - North Carolina Diagnostic Imaging

    What day and time would you like your appointment? We will do our best to find a time that works for you, but cannot guarantee the time you have requested.

  • Date you would like to be seen Date you would like to be seen * / /
    Pick a date.
  • Time you would like to be seen *
    Time you would like to be seen
  • Additional Information

  • PLEASE NOTE:

  • If you elected to be contacted by email, please note that all correspondence from North Carolina Diagnostic Imaging will be encrypted, and you will need to log into a secure portal to retrieve your messages. *
    If you elected to be contacted by email, please note that all correspondence from North Carolina Diagnostic Imaging will be encrypted, and you will need to log into a secure portal to retrieve your messages.
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