Radiographic Interpretation

Radiographic Interpretation
Patient's First Name*
Species*
Breed*
Gender*

FemaleFemale/SpayedMaleMale/Neutered
Age*

MonthDayYear
If unknown, please estimate
Owner Last Name*
Owner First Name
Optional
Requester's Name*

PrefixFirst NameLast Name
Practice Name*
Practice Phone Number*
Email*
example@example.com
Upload images (radiographs and/or photos) you would like to send for interpretation. If submitting more than one, hold the Ctrl button down while clicking all the images you want to send.

Browse Files
Please note: All images must be in jpeg format. Please contact your imaging software technical support for details. Cancelof
Please provide a detailed patient history, including clinical symptoms, clinical appearance of a tooth or teeth in question, and any specific concerns or questions you would like answered.*
Include onset and duration of symptoms
Please select a service*
prevnext( X )
Standard Radiographic Interpretation (3-4 day turnaround time)$73.00

Priority Radiographic Interpretation (within 48 hours)$96.00

Total $0.00
Turnaround times are valid only when the practice is open and does not include weekends or holidays.
I understand the details of turnaround times as described above*

Agree
A written report will be sent to the email address you provided within the time indicated.
Should be Empty: