Online Scheduling Request

Online Scheduling Request

Required fields are labeled with a Red Asterick *

REFERRING PROVIDERS: PLEASE FILL OUT THE FORM BELOW TO SCHEDULE A PATIENT APPOINTMENT WITH WILLAMETTE VALLEY IMAGING.

General Information

Patient Information

Please Check One of the Following:

Only order if recommended by prior LDCT report: Lung-RADS 3 or 4A: Screening criteria not applicable.

Screening Criteria (Patient must meet all criteria; one year must elapse between screening.)

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Location

3003 N. Delta Hwy #303
Eugene, OR 97408

Monday - Friday
8:00am - 5:00pm

Tuesday, Wednesday & Thursday evening appointments available for your convenience.

541-344-9500

Location

3003 N. Delta Hwy #303
Eugene, OR 97408

Monday - Friday
8:00am - 5:00pm

Tuesday, Wednesday & Thursday evening appointments available for your convenience.