Order Forms (downloadable PDFs)

For quick access to our order forms, feel free to access one of the links below and print the order forms as needed.

EGRMC-SIC-OrderForm

Radiology cpt codes 11.28.17

If your office is interested in the online ordering offered through East Georgia Regional Medical Center, please contact our Radiology Director, Tammy Mascarello at (912) 486-1659,  for more information about this free online service. This is available for all offices wishing to order from EGRMC or Statesboro Imaging Center.