For Providers
Our goal is to make it easier for you to deliver exceptional care to your patients. With transparent pricing, convenient locations, results available within 1 business day, and a team of over 100 fellowship-trained radiologists, we ensure that you can trust every referral.
Log in to the Provider Portal and place your order.
Choose the appropriate form based on your patient’s location:
Fax the completed order to the number listed on the form.
You’ll receive a fax with the results, and they’ll also be uploaded to your Provider Portal for easy access.
Our Provider Portal gives you and your team secure, centralized access to imaging orders, advanced image viewing, immediate reports, easy online ordering, and essential clinical resources—all designed to streamline workflows and improve patient care.
Our personalized onboarding ensures secure setup, in-person training, and tailored support for your clinic, with the sign-up process typically taking 2–3 weeks.
Please fill out the form, and our team will reach out to guide you through the next steps.
Provider Portal Interest Form
If there is an error in your medical record, you have the right to request an amendment.
Download and print the form:
English: PHI Amendment Request Form
Spanish: Solicitude de modificatión de la PHI
Return your completed form using one of the following options:
Fax: 801-803-5384
Email: medrec@tellicaimaging.com
Requests must be made in writing, and you will receive a response within 60 days. In some cases, additional time is needed to complete the request. You will be notified if an extension is needed. If you have question you can reach out to medrec@tellicaimaging.com.
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