Online Scheduling Form
You can schedule online in two steps:
Step one
Click the button below and fill out the scheduling form.
By providing a telephone number and submitting the form you are consenting to be contacted by SMS text message. Message & data rates may apply. Reply STOP to opt out of further messaging.
Step two
We require a copy of the patient's face sheet and a signature page from you.
Submit these via:
Scanning with a smartphone app and emailing to office@proimagetx.com
Faxing them to(877) 676-6277
Upload them directly by using the "Client info upload" form below