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.

OIP MRI locations include Camp Hill, Carlisle, and Harrisburg. View all locations here. 

To refer a patient for an MRI, please complete the form below or call our MRI Department directly at (717) 836-1508.

The fax referral sheet can be found here. 

Referring Provider Information

    Patient Information

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