Online Scheduling Form(old)
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 and Data Rates may apply. You can STOP messaging by sending STOP and get more help by sending HELP. Further information can be located in our Privacy Policy.
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