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Referring Materials

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For your convenience, Mercy Imaging Centers provides referring physicians with resources ranging from easy reference referral forms and coding guides, to a series of brochures for patients explaining different exam processes and procedures.

Use our convenient online Information Request Form or call your nearby Mercy Imaging Centers location to request the reference materials you need.

Click on the images below to view Mercy Imaging Centers' library of referral materials and patient brochures.
 

 

Imaging Services
Referral Pad

Women's Imaging
Referral Pad

List of Contracted
Health Plans

Map Tear Sheets
(Women's Center Example)

       

CT CPT
Coding Guide 
 

MRI CPT
Coding Guide 

Patient Brochure:
MRI

Patient Brochure:
CT Scan

       

Patient Brochure:
DEXA Scan

Patient Brochure:
Mammography

Patient Brochure:
PET Scan

Patient Brochure:
Ultrasound

       

Patient Brochure:
Women's Imaging

Centers at a
Glance: MIC

Centers at a
Glance: MMGDI

Pre-Authorization Request

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