Request an appointment • American Health Imaging

Submit the form below to set up your next visit.

American Health Imaging of Hiram

We offer evening hours and weekend options that work with your busy schedule. Same-day appointments are often available.

A physician’s referral order is required for medical imaging.

"*" indicates required fields

First and Last Name*

Phone Number*

Email*

Location*

Type of Imaging Scan*

Birth Date (XX/XX/XXXX)*

Do you have a doctor's order for the imaging?*

Yes

Is the imaging order from your doctor for AHI?

Yes, my imaging order is for American Health Imaging

No, my imaging order is for a hospital

No, my imaging order is for another imaging center

No, my imaging order or my doctor did not specify where to go

AHI can and will schedule your scan if your order is for a hospital or other imaging center. This question is only to understand how you found AHI.

Do you need imaging for a personal injury case (motor vehicle accident or slip & fall) or worker’s comp?*

Yes

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