Physician Order Form
A Leader In Diagnostic Radiology Throughout SE Missouri
Order Form
Please print this order form (PDF) and FAX to:
Midwest Imaging Center – Farmington
(573) 760-0228 Fax
Midwest Imaging Center – Potosi
(573) 436-7321 Fax
Please print this order form (PDF) and FAX to:
Midwest Imaging Center – Farmington
(573) 760-0228 Fax
Midwest Imaging Center – Potosi
(573) 436-7321 Fax