Request an MRI

Referring Providers – Request an MRI

Prior to referring a patient for an MRI with OIP, please review the MRI Preauth Documentation Guidelines from NIA.

To refer a patient for an MRI, please complete the form below or call our MRI Department directly at (717) 909-1234.

Referring Provider Information



Patient Information


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Click "Submit" to process your 'Request an MRI' Form.