| PACS Account Application Form |
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Picture Archiving and Communications System (PACS)
Please complete the following form and your PACS Account will be set up. You will be contacted once your account has been activated and is ready for use.
To verify your identity you will also be asked to submit a signed authorization on your personal letterhead, that will be cross checked against your practice location and provider number. This is required to safe-guard against any unauthorized access of patient imaging.
Note: You will only be able to view your own referrals. It is therefore imperitive that you write clearly and legibly on all referral forms.
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