Patient tools for Download

Pre-Registration
Map & Directions
Satisfaction Survey

Physician Referral and Scheduling tools for Download

Fax Scheduling - fax us this form and we'll call the patient (CT, MR)
Patient Referral Form including patient prep and information
Breast Imaging Referral Form - Mammography, Ultrasound, MRI
Chiropractic Patient Referral Form
Salem Clinic Patient Referral Form
Salem Radiology Operational Design Focuses on Specialty Diagnosis

Please fax forms to our office at: (503) 371-0777

Forms require free Adobe Reader; Click here to download if necessary