Please review the following and make any appropriate updates. If you have an Order from your physician, click Upload File to attach to the appointment request. When done, read the Terms and Conditions, add any additional person(s), click the agree checkbox and Submit.

Patient Information
   
Employee Information (Primary Insured)
Service Information
Service Name AE10 - CT Upper Extremity
What's Included Performance of CT exam, including all facility charges; Interpretation and written report by a Radiologist; Contrast material; any supplies used in the performance of the exam and injection and copy of images.
Provider Information
  • MH Imaging - Milwaukee
    7818 W. Layton Ave
    Milwaukee, WI 53220

  • 414-281-1490

  • 414-281-1452

  • www.mhimaging.com
Referring Physician

Physician Order
Upload Physician Order

Upload Files

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OR
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Terms and Conditions

I understand that by requesting an appointment that I am asking the provider to contact me in regards to that appointment at the number(s) and email(s) listed. I give that provider permission to request additional information from my referring physician, primary care physician and others in the continuum of treatment related to my appointment as determined by qualified medical professionals. I give providers contacting me permission to also speak with and , relationship and regarding this appointment request.