Schedule injection

Do not include PHI

* Indicates required field

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Referring practice contact person *

First

Last

Blood thinner? *

Clopidogrel Warfarin Other None

Ride home? *

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Typical response time is within 15 minutes of submission.

If no response within 15 minutes, please call 612-863-4359 to reach the IR control room.

If you do not see a confirmation page, please resubmit.

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Schedule a same-day spine injection(for use only from 8 am to 4 pm, M-F)

Do not include PHI

Schedule a same-day spine injection
(for use only from 8 am to 4 pm, M-F)