Scheduling: (813) 24- TOWER (8-6937)
Medical Records: (813) 875-7424
Billing: (813) 253-2721 ext. 0
Patient Portal
Physician Directory
Testimonials
Appointment Request
Medical Records
Patient Resources
Screening Exams
Locations
Referring Physician Access
Quick Appointment Request
Tower PACS Access
Medical Records Request Form
Important Phone Numbers
Tower Scripts
About Us
Services & Producure
Specialized Imaging Services
Press Releases
Accepted Insurances
Policies & Procedures
Careers
Tower Foundation
     

* Indicates Required Field
 
Patient's First Name:*
Patient's Middle Initial:
Patient's Last Name:*
Date of Birth:*
Preferred Phone Number for Tower to Contact:* - -
Ordering Doctor:*
FAX Exam Appointment Confirmation to:* - -
Exam That Needs to be Scheduled:*
Comments:

FAX Exam Prescription & Authorization to: (813) 879-1809

 

Feel free to call our scheduling department at (813) 874-3177
All appointment request form submissions are answered within 24 hours or next business day; this form should not be used for emergency or urgent needs. If you have an emergency you should call 911. All electronic mail is, by its nature, not secure, and no health information should be included. If you have medical information that needs to be provided to Tower Radiology Centers, please call the office directly (813) 874-3177 or fax information to (813) 879-1809.

 
 



© 2017 Tower Imaging, Inc.
 
About Us | Contact Us | Related Links
Press Releases | Teleradiology | Privacy Policy
Online Appointment Request  Valued Customer Survey  Email Signup