Referring a Patient

Fax Patient Information to: 215-935-0023

Patient Information Should Include:

• Signed prescription designating a PET/CT and the diagnosis

• Demographic sheet including insurance information or a completed patient scheduling form

• Prior imaging reports (CT's, MRI's, etc.)

• Any biopsy or surgery reports

• Any lab results

• Most recent doctor's notes

Upon Receipt Of Appointment Request:

• Adler Imaging will call the patient directly, schedule the appointment, and check the insurance coverage

• The PET/CT results will be mailed, faxed or e-mailed to the referring physician within 24-48 hours following the patient's appointment