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Request your appointment today We want to make scheduling convenient for you. Diagnostic Imaging Associates appreciates your business. If you have any problems, please do not hesitate to call our offices at the numbers listed above. We look forward to seeing you.

All personal identifying information is encrypted and your message will not be internally or externally forwarded to other third parties.  The information will solely be used by Diagnostic Imaging Associates.  Your request or registration will normally be processed within 24 hours, during normal business hours, Monday-Friday, 8:00am-5:00pm.
Diagnostic Imaging Associates shall not be held responsible for failure of transmission of your electronic message due to technical errors.  If you do not receive confirmation of receipt of your request or registration within 48 hours, please give us a call at (302) 369-4342 during normal business hours. 

Call our Central Scheduling Office at:
(302) 369-4DIA (4342), or
Fill out the online form below AND A REPRESENTATIVE WILL CONTACT YOU:


Patient Scheduling Form
Please fill out the form below. Fields marked with "*" are required.

First Name:* Middle: Last:
Email Address:*
Daytime Phone: * (###) - ### ####
Cell Phone: * (###) - ### ####

Referring Physician:
Referring Physician Phone: (###) - ### ####
Birth Date:* xx/xx/xxxx
Patient Insurance Carrier:

Is this examination urgent? yes no

Exam(s) Requested:


Desired Date: xx/xx/xxxx
Desired Time: HH:MM AM/PM
Location Preferred:



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Centralized Scheduling: (302) 369-4DIA (4342)
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