Submit Radiology Request Form Online Here. (DVMinsight users log in with username and password below.**) Enter Hospital Name:  * required Owner's Name:  * required Pet's Name:  * required Breed:  * required Pet's Gender/Neuter status:  * required Pet's Age:  * required History (pertinent laboratory, historical and physical exam findings): Current Medications? Sed./Anesthesia used for study? What type of images are you submitting for review? Submitting radiographs for review Submitting abdominal US images Submitting an MRI Study Submitting CT scan Images Available for Interpretation(list anatomical areas evaluated and total number of radiographs submitted): How are you sending the images for review? Transmitting DICOM files direct to MVRserver Transmitting DICOM files via FTP to MVR Goggin folder Submitting DICOM files on CD or video via mail or courier Transmitting DICOM files attached to email Submitting jpeg images via email or CD (AVOID THIS METHOD-vital image information can be lost) Additional comments: Provide email below if you would like confirmation we received your request and your report provided via email. For a STAT request call 888-788-7237 to determine if a radiologist is available for a STAT interpretation. Also type "STAT" just before your hospital name at the top of this on line submission form. Additional charges apply. **DVMinsight users! Enter password and username below. USERNAME: PASSWORD:
Click link below to download a blank history form for fax submission. Submission of diagnostic images for consultation in DICOM format is recommended. [Contact us at (888) 788-RADS if you need instructions on how to upload/transmit files.] You can fax the completed form to (973) 833-0381 to submit a case for review, however we recommend you submit histories via the on-line form at the top of this page for the best service. You can click here to email us at images.mvr@gmail.com Click here to download blank MVR history form.