Appointment Request

Radiology Affiliates Imaging offers convenient and expanded service hours including nights and weekends for most of our imaging procedures. Our scheduling department offers the convenience of being able to schedule an appointment for all your imaging needs at either our Hamilton or Lawrenceville locations. To schedule your appointment, please submit the form below and we will contact you by phone to confirm your appointment; or feel free to give us a call at (609) 585-8800.

RAI is now offering a FILM PICK UP SERVICE to our patients. We will arrange to have your outside films picked up locally, including Princeton, and delivered to our imaging center in time for your appointment. Please print and sign our Record Release Form and fax it to 585-1825. This form must be returned before pick up can be arranged.

Fields marked in red are required. Secondary exam information is not required.

3D Mammography (Tomosynthesis) is currently offered in our Lawrenceville office ONLY.

Personal Information

*First Name:

*Last Name:

*Daytime Phone:

Evening Phone:

*Email:

*Date Of Birth:

*Referring Physician:

*Name of Insurance:

Any additional information you need to provide?

Appointment Information

Appointment Location:

Primary Procedure Request:

Appointment Date – First Choice:

Preferred Time:

Secondary Procedure Request:

Appointment Date – Second Choice:

Preferred Time:

RECOMMEND US!

Serving New Jersey and Pennsylvania areas including: Allentown, Bordentown, Burlington, Ewing, Hamilton, Hightstown, Hopewell, Lambertville, Lawrenceville, Lawrence, Pennington, Plainsboro, Princeton, Robbinsville, Trenton, West Trenton, Mercer County, Bucks County, East Windsor, West Windsor.

Radiology and Imaging Services Provided: High-Field MRI, 3 T MRI, Breast Imaging, MRA, MR Arthrogram, Contrast Studies, Reduced Radiation CT, CTA, Digital Mammography, Bone Densitometry, DEXA with Vertebral Fracture Assessment (VFA), Ultrasound, Pelvic and Abdominal US, Fetal US, Venous Doppler Extremity, DVT, Venous Reflux Study, Carotid, Noninvasive Arterial Evaluation, Reduced Radiation X-Rays, GI Studies, Esophageal, UGI, Bowel Series, Barium Enema, Thyroid Biopsy, Breast Biopsy,3D Mammogram,Breast Ultrasound,Breast Density,Breast Tomosynthesis,Tomosynthesis Mammography

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