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For Referring Physicians

Referring Physicians Resources

Imaging Examinations
Insurance Accepted
Appropriateness Criteria
Contrast Guidelines
PACS Login Page
Download CPT Form
Download Scheduling Order Form
Download Understanding Radiation Exposure
Patient Preparations
Contact / Location Information
Our Radiologists

Please download, print and complete the service order form provided below. You can contact us or fax the form to our scheduling center at:

Delray Beach Location Fax: 561.496.6936
Boynton Beach Location Fax: 561.424.0888

Imaging Centers of Delray Beach and Boynton Beach Florida Download Scheduling order form

Forms Require Free Adobe Reader Software - download here if needed

Insurance Accepted

  • Aetna
  • AvMed Health Plan
  • Beech Street 
  • Care Plus Health Plans
  • Cigna
  • Community and State
  • Coventry/First Health/Summit/Vista
  • Evolutions
  • Florida Blue (BCBS)
  • Freedom Health
  • GHI/Emblem Health
  • Health Care District
  • Humana
  • Magellan Complete Care
  • Medicaid/MediPass
  • Medicare
  • Multiplan/PHCS
  • Neighborhood Health Partnership
  • One Call Care Diagnostics
  • Optum / Cypress Care
  • Oxford Healthcare
  • Preferred Care Partners
  • Prestige Health Choice
  • Railroad Medicare
  • Spreemo
  • Sunshine State Health Plan
  • Total Network Resources
  • Tricare-Humana Military Healthcare
  • United Healthcare

If your office participates with a managed care organization not listed above, contact us to verify if we accept the plan.

CT Scan MRI Breast Imaging Varicose Veins PET/CT Bone Density Angiography in South Florida
American College of Radiology ACR Appropriateness Criteria

Acute Abdominal Pain


Acute MI

Non Traumatic Knee Pain

Acute Respiratory Illness

Non - Palpable Breast Mass


Onset Acute Flank Pain



Blunt Abdominal Trauma

Palpable Abdominal Mass

Bone Tumors


Breast Microcalcifications


Cerebrovascular Disease

Pulmonary Embolism

Chronic Foot Pain

Renal Failure

Chronic Neck Pain

Renal Vascular Hypertension

Chronic Wrist Pain

Rib Fractures

Colonrectal Cancer Screening

Right Lower Quadrant Pain

Congestive Heart Failure

Right Upper Quadrant Pain


Routine Chest X - Ray


Screening for Pulmonary Metastasis


Small Bowel Obstruction


Soft Tissue Mass

Head Trauma

Solitary Pulmonary Nodule


Staging BREAST Cancer


Suspected Ankle Trauma


Suspected Aortic Dissection

Indeterminate Renal Mass

Suspected Liver Metastasis


Suspected Spine Trauma

Left Lower Quadrant Pain

Vertigo and Hearing Loss

Liver Lesion Characterization

Visual Loss

Low Back Pain




Forms Require Free Adobe Reader Software - download here if needed

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