Physicians MRI Referral Form

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* NOTE: This form does require the latest version of Adobe Reader. Download Adobe Reader here.
You may fill out the form and save it and/or print it and fax it to us: 763.244.8021

Shingle-Creek-Medical-Group
To better serve you, we are currently upgrading to a new MRI unit.
During this time, we will be down for approximately 4-6 weeks.

Thank you and sorry for the inconvenience.

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