Pembroke Pines

9696 Pines Blvd.
Pembroke Pines, FL 33024
Phone: (954) 391-7844
Fax: (954) 391-7947
Contact: Nigel Wong

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Lake Worth

2311 10th Ave N Suite #2, and Suite #1
Lake Worth, FL 33461
Phone: (561) 623-8346
Fax: (561) 623-8347
Contact: Sandra Umanzor

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Cypress Creek

2122 NW 62nd Street, Suite 107
Ft. Lauderdale, FL 33309
Phone: (954) 677-1069
Fax: (954) 677-1428
Contact: Latoya Reid

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Patient Referrals

Fax/Email our Form
It’s quick and easy to refer a patient!

  1. Download the MRI script form click here Or MRI script map click here
  2. Download the TBD script form click here Or TBD script map click here
  3. Fill out the patient information as well as what location you would like to send patient
  4. Fax the information over to one of our 4 locations or email to
  5. If sending to Pines location please email to If sending to Cypress Creek MRI location please email to


If you do not have a login and password or if your current login and password are no longer working, please contact one of our locations for assistance.

Request an Appointment

Please Fill out the form below and someone from our helpful staff will be in touch with available appointment times.

    Download the MRI script form click here or MRI script map click here.

    Download the TBD script form click here or TBD script map click here.