Contact Dr. Winters for a FREE MRI or CT Scan review by submitting the form below or call
801-387-6520**

Your MRI will be reviewed by Dr. Winters to determine if you need a surgical consultation or if another approach would be more appropriate for you.

Within two business days, a triage coordinator will contact you in the manner and time in which you request. For purposes of the MRI review, our business days are Monday through Thursday.

All fields marked by an (*) must be completed.

Personal Information    
     
* First Name:
 
* Last Name:
 

* Date of Birth:

 
     
Contact Information    
     
* Preferred Method
of Contact:
 
* E-mail:
 
* Phone Number:
 
* Best Time to Call:
 


     
Other Information    
 
 
* Date of most recent MRI or CT Scan:
 
* Where was your most recent MRI or CT Scan done?
 
* Area of condition:
 

Notice of Limited Use: Any personal information you provide to Dr. Winters will not be used other than to contact you and request MRI information.
** Please understand that by performing an MRI review, Dr. Winters is providing only an informational review of documents and he is not providing any form of diagnosis

 
 
 
 
 
 
 
 

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