Tell us about your radiology needs.

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Now that you've learned a little about us, we'd like to hear about you. Please fill out the form below to further explore opportunities for us to work together.

Information Request Form

Name  
Title  
Organization  
Address  
City  
State  
Zip  
Phone  
Fax  
E-mail  
How did you hear about PRS?  
Please select all services that you may be interested in:  
PRS as your primary radiology partner
PRS providing back-up coverage for another radiologist/group
On-site routine procedures
NovaPACS
Valley Medical Management Services, LLC offerings
Other:
Approximate volume of exams per year:  
Please select all modalities that apply:  
CT/CT
MRI/MRA
Nuclear Medicine
PET/CT
Ultrasound
X-Ray
Analog Mammography
Digital Mammography
Other:
Additional information: