Diagnostic Imaging of Southbury  
Less Worry. Less Wait.

Forms & Supplies

Complete the order form below to request supplies.

Requesting Office

Office Address

Requestor's Name

Phone Number

Referral Form

Referral Form

DEXA Referral Form

DEXA Referral Form

 

Have Questions? We have answers.

What's New

Patient Portal &
Electronic Health Records

Women's Services that
Meet Your Needs

Patient-Friendly MRI

Breast Imaging Center
of Excellence

 

Union Square Bldg. #2 • 385 Main Street South • Southbury, CT 06488 • P: (203) 267-5800