Chesapeake Imaging
CALL: 855-455-8900
SECURE FAX: 855-455-8222
REQUEST AN APPOINTMENT PAY MY BILL

Order Exam

Printable Provider Order Form (PDF)
Exam order form in printable PDF format. Upon completion:

  1. Fax to:  1-855-455-8222OR-  scheduling@cmimail.net
  2. Give to the patient for their appointment.

Click for Ordering Guides (password applies).

QUICK ACCESS