Upload your patient’s data using the form below.
Online Order Form
To upload your files to us directly, please complete all fields below. Before uploading DICOM, compress the files into one zip file and then upload the zip file.
Please see our CT/CBCT Scan Protocol for more information.
To send your files by mail, please complete this form and mail in with the medical images CDs to the following address:
Attn: Case Management
910 West Van Buren Street, Suite 715
Chicago, IL 60607
If any assistance is needed, please contact us at 1-773-840-5227 between 9 am and 6 pm central time. Or email us at firstname.lastname@example.org.