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South Sound Veterinary Imaging - New Client Contact Information
Thank you for trusting South Sound Imaging with your radiology needs!
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Practice Name
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Practice Phone Number
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Any additional phone numbers you would like to provide and indications for contact.
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Practice Address
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Email address you would like reports sent
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Email address for AP inquiries (if different)
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Practice Manager Name
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Medical Director or Managing DVM
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How many doctors are in your practice?
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Please list the names of your doctors
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Name of your PACS (the program you use to view and send your radiographs)
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Imaging modalities at your practice
XRay
MRI
CT
Ultrasound
Fluoro
Other:
How did you hear about us?
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Any other information you would like to share that would better help us serve you.
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