Trinity Health Michigan – Radiology (Greater Grand Rapids, Saint Mary's Grand Rapids Radiology), Grand Rapids, MI fax number

Fax destination details

Department

Radiology

Purpose

FAX-based submissions for imaging scheduling and reporting. Specifically, scheduling PET-CT scans and sending radiology orders, radiology reports, and related documents to the Radiology department.

Form

PET-CT Scan Request Form — PET order (GR15800-002) GR15800-002 Rev 9/8/2015

Address

Grand Rapids Hospital, 200 Jefferson Avenue SE, Level 1, Grand Rapids, MI 49503

Voice phone

616-685-4000

Website

Visit organization website

Before you send

• Confirm that this exact department handles your document or request.
• Check the organization website or call its main line for the current fax number.
• Include a cover sheet and any case, member, claim, or form reference required.
• Keep the delivery confirmation with your submission records.

For scheduling, call 616-685-4000; pre-register patients by calling 616-685-6094; fax this form (and any recent office notes, radiology reports, and pathology reports) to 616-685-3038 after scheduling.

Official form instructions are published as a downloadable file on the organization's website.