Medical Image Requests

Tristate Region

Process for organizations to request images as of 6/27/2018, by facility

To update the information listed below, please email contactus@healthcollab.org with your changes. Click here for a printable PDF.

Adams County Regional Medical Center
ROI request can be on ACRMC’s form or the requesting organization’s form. Initial line of communication is calling the Imaging Department 937-386-3460. A request may be made verbally and an authorization of release form faxed to 937-386-3489. Or a request may be made solely by faxing an authorization to 937-386-3489.

Cincinnati Children’s Hospital
ROI Form provided – click here. During normal business hours (8-5 M-F) all image requests should go to our HIM film room (513-636-6399). After hours (5-11 staffed) call our reading room assistants 513-636-6394. Form can be faxed to 513-636-4586 during normal business hours. After 11 if there is an urgent need you can page 513-736-1088 for on-call PACs support. We can electronically transfer images to any hospital, or mail a disk.

The Christ Hospital Health Network
Call for request process. Call 513.585.2467. Staffed 630am to 5pm M-F, leave message during off hours.

Clinton Memorial Hospital
ROI request should be on requesting organization’s form. During normal business hours (M-F 7:30-5) please call 937-382-9353 for verbal requests or fax your image request form to 937-382-9226. For STAT requests needed during evening/ weekend hours please call and verbally make request as no one will be manning the fax machine.

Dayton Children’s Hospital
ROI form provided – click here. Call or fax request to Imaging Front Office: Phone: 937-641-3811; Fax: 937-641-5405. We will also send images via an email link. For Cardiology (Echo) Images: Contact Todd Hillman at hillmant@childrensdayton.com, Phone: 937-641-4612; Fax: 937-641-5413.

Highpoint Health
ROI request should be on the requesting organization’s form or fax coversheet. All communication should go through Highpoint Health Transcription, not tech to tech. Call Highpoint Health Transcription at 812-537-8160, or complete the request form and fax to 812-537-8441. Rachel Burdette, PACS Coordinator is the best person to call for issues/facilitation, 812-537-8104. Email radtrans@dch.org for general questions. Do not send patient information by email.

Mercy Health (SW Ohio Region)
Call for request process at each location. 

Jewish Hospital – Radiology: 513-686-3280; Cardiology: 513-686-3280
Marcum & Wallace (Irvine, KY) – Radiology: 606-726-2106; Cardiology: 606-726-2106
Mercy Anderson Radiology: 513-624-4663; Cardiology: 513-624-4670
Mercy Clermont – Radiology: 513-732-8244; Cardiology: 513-732-8244
Mercy Fairfield – Radiology: 513.870.7767; Cardiology: 513-867-3287
Mercy Memorial Hospital Urbana – Radiology: 937-484-6156 or 937-523-1660; Cardiology: 937-484-6156 or 937-523-1660
Mercy West – Radiology: 513-215-1650; Cardiology: 513-215-1780
Springfield Regional Imaging Center – Radiology: 937-342-5400; Cardiology: N/A
Springfield Regional Medical Center – Radiology: 937-523-1661; Cardiology: 937-523-1308
St. Rita’s Medical Center – Radiology: 419-226-9412; Cardiology: 419-226-9077

Premier Health
ROI request should be on requesting organization’s form.

Atrium Medical Center – FAX a request form to 513-974-502. Fax is monitored 7am to 8pm M-F and 7am to 4pm on Saturday. Closed on Sunday.

Miami Valley Hospital / Miami Valley Hospital South / Miami Valley Hospital North – FAX a request form to 937-208-5394. If after hours, images will be sent the next day; or call 937-208-4626 during working hours; or call 937-208-4922 off hours and weekends.

Upper Valley Medical Center – Call 937-440-4800. Staffed 24/7 M-F. Staffed 7am to 11:30pm Saturday and Sunday.

St. Elizabeth Healthcare
ROI request should be on organization’s letterhead. Office: 859-301-2160. Fax: 859-301-3932. Staffed M-F 6am – 7pm, Saturday 6:30am – 3pm.

TriHealth
ROI request should be on requesting organization’s form. All communication should go through the Bethesda North film room, not tech to tech. Call the BNH film room at 513-865-1331 and make a verbal request; or complete request form and fax to 513-865-1329. Tom Morris, Radiology Supervisor is the best contact person to facilitate image exchange: Cell 513-490-1564; Office 513-865-1536; Fax 513-865-1329; tom_morris@trihealth.com

UC Health
ROI request should be on requesting organization’s form.

UC Medical Center
Initial line of communication is calling the PACS office at 513-584-PACS. A request may be made verbally and an authorization of release form faxed. A request may be made solely by faxing an authorization 513-584-2186.

UC West Chester
Initial line of communication is calling the PACS office at 513-298-8905. A request may be made verbally and an authorization of release form faxed. If it is the ordering physician calling there is no release form. A request may be made solely by faxing an authorization. Fax number is 513-298-8933.