Request an Appointment at Outpatient Diagnostic Imaging Centers Indicates required field First name Last name Phone Date of birth Preferred location - None -Blue SpringsBurlington CreekMedical PlazaMission FarmsShoal Creek Do you have insurance? Yes No Insurance provider - Select -AetnaBlue Cross Blue ShieldCignaHumanaMedicareMedicaidUnited Health CareOther Other Member or Subscriber ID # Do you have a doctor's exam order to upload? Yes No Upload a copy of your order One file only.3 MB limit.Allowed types: pdf. Referring physician/provider Referring physician/provider phone number Type of exam - Select -MRICTCardioScanX-rayUltrasoundDexa bone density scanFluoroscopy