Want to Send Electronic Orders & Stay Paperless…

Ordering exams has never been easier! While Medicare does require we have the Dr.’s order and patient insurance information, you are able to easily fax those over to us with a simple one page, customized form.
You can even place orders online. HCI Radiology also has the capabilities to interface with different EMR systems such as Practice Fusion and Point Click Care


Want to Send FAX/EMAIL order…

The forms are presented in Adobe Acrobat format. If you do not have the Adobe Acrobat Reader software, please download it.

Download Form