Express Medical Imaging

An Imaging Center That Cares

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You are here: Home / Physician Prescription for Imaging

Physician Prescription for Imaging

Requesting imaging for your patient is easy. Simply print out the form, make your selections, and sign it.

Below are some options for sending it to us:

  • Fax it to us at (386) 280-0081
  • Contact us for a compliant electronic method of transfer.
  • Have the patient bring it to us in person
  • More options will be available soon. Feel free to contact us.

NOTE: Please include a copy of the insurance card and patient contact information.

Click here to print the prescription form.
(Print multiple copies to have on hand.)

Click here to request delivery of more prescription pads.

Thank you.

Important Links for Patients

  1. Request a Mammogram Online
  2. Directions to Our Location
  3. Your First Visit
  4. How to Prepare
  5. Initial Paperwork
  6. Our Patient Portal

Important Links for Physicians

  1. Send a Prescription
  2. Our Physician Portal
  3. Directions to Our Location
  4. Billing Information

Hours Of Operation

Monday – Friday
8 AM – 5 PM

Company Profile

Express Medical Imaging was founded in 2019. We thought it was time to challenge the existing … Read More

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New Developments

  We proudly introduce to Putnam County a ground breaking MRI. 1st Open bore MRI to reduce claustrophobia. 1st 3 Tesla MRI to give the most precise imaging available. 1st MRI to provide routine 5 minute scan times. 1st MRI to offer Ultra High Definition images. 1st MRI to offer … Read More

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Medical Express Imaging
6300 St Johns Ave
Palatka, FL 32177

Ph: 386-280-0080
Fax: 386-280-0081

Express Medical Imaging complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

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