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Scheduling

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If your physician is sending you to Crouse Hospital for a service or procedure in Medical Imaging, his/her office usually will schedule the appointment for you. However, if you need to schedule or change your appointment, complete and submit the form below to request a time convenient for you. Or, call the scheduling department at 315/470-5880.

Schedule an Appointment Now
* = Required

 
* First Name
Middle Initial
* Last Name
* Street Address
* City
* State
* Zip
Date of Birth
Email Address
* Phone
Work Phone
Cell Phone
Referring Physician

Appointment Request For: (check all that apply)
  

* Month of Desired Appointment
* Day of the Week Preferred
* Timeframe Preferred
 
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