Request An Appointment

Welcome to St. John’s Riverside Hospital patient scheduling for Diagnostic Exams (Mammography, CT scan, MRI, complex Xray, etc.). No appointment is needed for a simple Xray or lab work. Please fill out the below form and someone will get back to you with available appointment times within 1-2 business days. If you have any questions, please call 914-964-4329.

Patient Name (first & last)

Date of Birth

Street Address

Apt/Suite

City

State

Zip Code

Telephone Number

Email address

Type of Appointment needed

Test(s) Name

Test(s), Physician Ordering (first & last name)

Diagnosis (if available & all if several)

Insurance Name

Insurance ID #

Insurance Address

Please attach a photo/scan of your presecription