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Referral Form - Windsong Radiology Group 2026

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  1. Click ‘Get Form’ to open the Referral Form - Windsong Radiology Group in our editor.
  2. Begin by entering the Patient’s Name and Date of Birth (DOB) in the designated fields at the top of the form.
  3. Fill in the History/Symptoms section with relevant details, followed by Today’s Date and Diagnosis Code.
  4. Complete the Physician/Clinician Name and Signature fields to ensure proper authorization.
  5. Specify the Appointment Date and Time, ensuring accuracy for scheduling purposes.
  6. Indicate any required tests or procedures by checking the appropriate boxes under MRI, CT, Ultrasound, etc., based on patient needs.
  7. Review all entries for completeness before saving or sending your form directly from our platform.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How do I get an MRI referral? You can obtain an MRI referral by meeting with a primary care provider either in-person or online to discuss your medical history and symptoms and determine whether or not a referral is necessary.
Clear your schedule, turn off your cell phone, wear comfortable clothes, and prepare to be amazed! You will know so much more about yourself and how amazing you are at the end of this very special appointment.
Locations Amherst, NY. Our Location: 3950 East Robinson Road, W. Hamburg, NY. Our Location: 4855 Camp Rd., Ste. 500, Lancaster, NY. Our Location: 4893 Transit Road, Niagara Falls. Our Location: 10195 Niagara Falls Blvd, Suite 200, Snyder, NY. Our Location: 4925 Main Street, Williamsville, NY. Our Location: 55 Spindrift Drive,
Data Security All information that you provide to us is stored on our servers behind firewalls, and certain Personal Information will be encrypted using secure socket layer (SSL) technology.
For questions, please call Jenna Baehr, Windsong Care Program Coordinator at 716-631-2500 x2208.

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People also ask

Radiology Services. Windsong offers high-quality imaging services with the latest in technology. From X-ray and ultrasound to CT, MRI, and PET/CT, Windsong provides a convenient alternative to hospital imaging.
Windsong utilizes advanced technology and has a team of highly trained, certified technologists to ensure a quality scan and a positive patient experience. All imaging studies are interpreted by our fellowship-trained, board-certified radiologists who represent all subspecialties.
Same-day and next-day appointments are available at many locations, and scheduling your mammogram is quick and easy with our NEW online scheduler.

Related links

Windsong Radiology Group Agreed to Pay $66000 for - OIG

OIG alleged that Windsong paid remuneration to physicians and physician practices (the Physician Referral Sources) in the form of free scheduling activitiesRead more

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RADIOLOGIC TECHNOLOGY 2023-2024

Aug 16, 2023 hours of written referral, the student will incur a Medical Imaging Non-Compliance Form violation. Windsong Radiology- Hamburg 716-648-5900 ext

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