Forms requiring completions:
Depending on a patient referral or direct appointment booking, please complete and submit the following:
- Direct Patient Booking – for all new patients / imaging clients, and please submit your booking request here.
- Physician Referral Form – only for physicians referring patients for imaging services. Please fill out the online form, or download & fax in.
Insurance:
SIC is an accredited & credentialed facility. PPO Insurance allows easier access to radiology services & less out of pocket expenses.
Insurance Info: We’re contracted with major Health insurance carriers, & for your convenience we also check the benefits on your current plan. Please bring a valid picture ID & current insurance info that includes Medicare. If this is an auto or personal injury case, please bring in your auto med-pay, your attorney’s info, along with your valid picture ID & general insurance info.
If the is a worker’s compensation case, please bring your claim number & case adjuster’s name & contact.
Self Pay:
We accept Visa, MasterCard, and Personal Check. We offer the convenience of paying your bill with us directly. Visit the following link – Pay your Bill Online.
Bring the Following with you:
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Health Insurance Card
Physician Order
Photo ID
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Patient Radiology Education:
Sunnyvale Imaging is here to help with any questions or concerns you may have prior to your exam. We are committed in providing non-compromised care. In order to prepare you for your visit we have
X-Ray and DEXA:
You have a choice between making an appointment or walk-in. We perform X-Rays and DEXA exams between 8:00-11:45 a.m. and 1:00-4:45 p.m.
For MRI exams:
All exams are scheduled; therefore, prior to your exam, please allow 30 min to complete your registration.
