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Request Form:

Before you submit your form, please Call, Text or Email us to start scheduling your appointment: info@thefocalzone.com

  • If multiple locations, please state which location
  • IF STAT, PLEASE CALL IMMEDIATELY TO SCHEDULE. BASED ON SONOGRAPHER/SPECIALIST AVAILABILITY.
  • Please check ALL that apply. If this is a STAT read, please call immediately so that your request can be processed.
  • Presentation, Physical Exam, etc. Bulleted text is appreciated.
  • Any medications patient is currently on, or has been administered in the last 24 hours.
  • Please list any abnormal lab work values. Example: ALT 400, BUN 47. You can alternatively email them to: info@thefocalzone.com The specialists have recently requested full lab work along with the ultrasound to provide the most detailed case read.
  • You may send up to 3 CURRENT radiographs that are of the same cavity that is being examined. These will supplement the ultrasound, however the main ddx will be made from the ultrasound itself. Please contact me if you have further questions. Email radiographs to: info@thefocalzone.com