Indiana Diagnostics

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Call 219-769-5000 or 877-756-SCAN (7226)

Request an Appointment

Would you like to refer one of your patients to Diagnostic Specialties Center, Munster Open MRI Center or Molecular Imaging Institute? If so, please print and complete the appropriate form below. Then fax it to the number shown on the form.

• MRI order form

• Breast MRI order form

• Chiropractic MRI order form

• Foot and Ankle MRI order form

• PET/CT order form

When we call to schedule the appointment, have the following patient information available:

• Name

• Address

• Phone number

• Date of birth

• Social Security number

• Height and weight

• Insurance information/employer

Questions? Contact us directly, and we'll explain more about our scheduling process.