Attorney - Reduction Request Form

NOTE: This form only needs to be filled out by attorneys who are requesting a reduction consideration from us. We will only accept their reduction requests with this form sent to us.

Download a printer-friendly version of the REDUCTION REQUEST FORM. ( Adobe Acrobat Reader required.)

Forms can be mailed to:
Advanced Radiology
P O Box 475
Reisterstown, Maryland 21136

Or Faxed to: 443-436-1298

If you have problems accessing the FORM please send an email to info@radiologix.com.