×

Appointment Booking

To request an appointment, please complete and fax the PET/CT Requisition Form to 954-981-5944 
OR call us at (954) 981-6668
OR fill out the form below and a member of our team will reach out to you as soon as possible

To Schedule Your PET Scan We Will Need...

Your Full Name:

Your Phone Number:

Your Email:

Your Date Of Birth:

Your Referring Doctor's Name:

Your Referring Doctor's Phone Number:

Appointment Date Requested:

Custom Message:

PET/CT Requisition Form

Physicians: Please fax the PET/CT Requisition Form to 954-981-5944. We will confirm receipt within 24 hours (or by the next business day)

Patients: Submit the information on the form and a member of our staff will contact you within 24 hours (or by the next business day).

Physicians and Patients can also book an appointment by calling our Main Office.

Main Office: (954) 981-6668

Fax: 954-981-5944

Email: info@petimagingflorida.com

Fees & Insurance: As a courtesy to our patients, PET Imaging Institute provides direct billing to major international insurance providers.

Fees & Insurance

For the convenience of our patients, PET Imaging Institute provides direct insurance billing with all the major international insurance providers and assistance companies.

Copyright 2018 PET Imaging Institute Terms & Conditions
Designed by Digital Rocket