Secure Online Forms Terms of Use Print

By agreeing to the terms of use of our secure forms, you will enter a secure area of our web site.

All personal identifying information is encrypted and your message will not be internally or externally forwarded to other third parties. The information will solely be used by Shady Grove Radiology.

Your request or registration will normally be processed within 24 hours, during normal business hours, Monday-Friday, 9:00am-4:30pm.

Shady Grove Radiology shall not be held responsible for failure of transmission of your electronic message due to technical errors. If you do not receive a confirmation of receipt of your request or registration within 48 hours, please give us a call at (301) 590-8999 during normal business hours.

If you have any questions regarding the use of these forms, please contact us at (301) 590-8999 during normal business hours.

Appointment Request AGREE

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