Contact Us: (877) 393-1933 REVIEW US! SECTRA UNIVIEW IMAGE/REPORT LOGIN HOME ABOUT US PATIENTS PHYSICIANS FEE SCHEDULE OTHER SERVICES LOCATIONS Patient Satisfaction Survey Your Opinion Matters Your feedback is important to us. Please complete the survey and include your contact information Was the staff friendly, knowledgeable & helpful? Poor - 1 2 Average - 3 4 Excellent - 5 How would you rate your total visit time? Poor - 1 2 Average - 3 4 Excellent - 5 How would you rate the comfort & cleanliness of our facility? Poor - 1 2 Average - 3 4 Excellent - 5 What prompted you to make your appointment? Recall Letter Internet Search Friend or Relative Referring Doctor Other What type(s) of exam were you scheduled for? Mammogram Bone Density X-Ray CT MRI PET Other What facility was your exam at? Carlsbad Escondido Poway/RB Overall how would you rate your experience on a scale of 1 to 5? Poor - 1 2 Average - 3 4 Excellent - 5 Submit Notice of Privacy Practices Notice of Nondiscrimination RADIOLOGIST ACCESS EMPLOYEE ACCESS CAREERS Connect with Us! (877) 393-1933 info@valleyrad.com

Contact Us: (877) 393-1933 REVIEW US! SECTRA UNIVIEW IMAGE/REPORT LOGIN HOME ABOUT US PATIENTS PHYSICIANS FEE SCHEDULE OTHER SERVICES LOCATIONS How Did We Do? Happy with your visit - click the green button that matches the clinic you visited! Click the red button to let us know what we can improve on. ESCONDIDO POWAY IMPROVEMENTS Notice of Privacy Practices Notice of Nondiscrimination RADIOLOGIST ACCESS EMPLOYEE ACCESS CAREERS Connect with Us! (877) 393-1933 info@valleyrad.com

Contact Us: (877) 393-1933 REVIEW US! SECTRA UNIVIEW IMAGE/REPORT LOGIN HOME ABOUT US PATIENTS PHYSICIANS FEE SCHEDULE OTHER SERVICES LOCATIONS Request Exam Complete the following form to request we contact you to schedule an exam. Depending upon the exam and your insurance, authorizations or other information may need to be obtained prior to finalizing your appointment. X-Ray's do not require an appointment. Simply go to either our Escondido or Poway office for walk-in service. Any questions, please contact our offices - (877) 393-1933. Fill in the form to request an exam. Requested Exam CT DEXA Mammogram MRI PET ULtrasound Requested Facility Escondido Poway/RB Requested Day of the Week Monday Tuesday Wednesday Thursday Friday Requested Time Frame 8am - 10am 10am - 12pm 12pm - 2pm 2pm - 4pm Submit Notice of Privacy Practices Notice of Nondiscrimination RADIOLOGIST ACCESS EMPLOYEE ACCESS CAREERS Connect with Us! (877) 393-1933 info@valleyrad.com