New Facility Setup
  • Facility Details
  • Modalities
  • Personnel
  • Scheduling Details
  • Hours

Thank you for your interest in working with Precise Imaging.  This form will take about 15-25 minutes to fill out.  Once you submit your facility details, a team member will contact you shortly.  If you have multiple facilities, you will be able to upload a file at the end.

Facility Info

Address
City
State/Province
Zip/Postal

Your Contact Info

Please enter your contact information or the information of the person we should contact regarding this submission.
Contact Name
Contact Name
First
Last