Request
Supplies

Request Clinician Supplies Use the form below to request WIS resources for your office.

Office Information

Clinician/Office Name	Clinician Name is required.Must be less than 50 characters.
Person Requesting Items (In case we have questions.)	Name is required.Minimum number of characters not met.Must be less than 50 characters.
Email Address
Daytime Phone Number

Items Requested

Referral Forms		Patient Brochures		Other
PET/CT Breast MRI CACS Chiropractic	Dental CT Sinus CT Generic	US MRI CT	DEXA PET/CT CACS	Contrast
Special Instructions / Other Information Requested

Schedule an Appointment Pay Bill Online Print Patient Forms Ask a Radiologist Take Our Survey Site Map Follow WIS on Twitter	Clinician Resources PACS Log-In Staff Log-In	Washington Imaging Services, LLC has advanced diagnostic imaging centers in Bellevue and Issaquah, Washington to serve patients on the greater Eastside and from Seattle. Our state-of-the-art PET/CT, MDCT, Breast MRI, MRI, ultrasound and x-ray systems capture detailed images that our board certified subspecialty trained radiologists interpret to optimize clinical decision-making.
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