Medical Records Request

Should you need a copy of your medical records, RAI provides this service free of charge. Please call (609) 585-8800, option 6 or submit the form below.

I.D. is required at time of pick-up. In the event that someone other than yourself will be picking up your medical records a signed release is required. Please have this signed form present at time of pick-up.

Film Pickup Service

RAI is now offering a FILM PICK UP SERVICE to our patients. We will arrange to have your outside mammography 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.

Pickup Hours

Our film pickup hours are:

Fields marked in red are required.

Personal Information

*First Name:

*Last Name:

*Daytime Phone:

Evening Phone:

Email:

Street Address:

City:

State:

Zip:

*Date Of Birth:

Study Information *Film/CD/Reports:
Film
CD
Report

*Type of Study:

*Exam Date:

*Date Needed For Pickup:

*Pickup Location:

Any additional information you need to provide?

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

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, Varicose Vein Treatment, Endovenous Laser Treatment (EVLT), Spider Vein Treatment, Sclerotherapy, Phlebectomy

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