Imaging Appointment Request

To request an Outpatient Diagnostic Imaging appointment for a procedure/test at any Valley Health facility, please complete the form below.

DO NOT SUBMIT MULTIPLE/DUPLICATE REQUESTS - This will cause a delay in your request being processed.

PLEASE NOTE: After clicking submit, a member of the scheduling team will contact you via the telephone number you provide to schedule your appointment. Please be on the lookout for this call. Thank you.