we Go above and beyond for our patients.

tO REQUEST AN APPOINTMENT AT ONE OF OUR IMAGING CENTERS, PLEASE FILL OUT OUR EXAM REQUEST FORM.

aN aLINEA IMAGING REPRESENTATIVE WILL CONTACT YOU AS SOON AS POSSIBLE TO REVIEW AND

COMPLETE YOUR SCHEDULING REQUEST.

Name

First Name

Last Name

Email Address

Date of Birth

YYYY

Phone

(###)

###

####

Preferred Date:

YYYY

Preferred Time:

Hour

Minute

Second

Insurance information

Member ID and Comments

Referring Physician/Clinic

Please specify requested exam

alinea main office:

2475 N Garey Ave Pomona, CA 91767
Ph: (909) 622-3166 | Fax: (909) 622-8046

santa ana office:

2700 N Main Street, #1107 Santa Ana, CA 92705
Ph: (714) 380-6740 | Fax: (909) 622-8046

Company

Careers
Happy Clients
Privacy

By providing my phone number to Rezolut and its affiliates, I agree and acknowledge that Rezolut and its affiliates
may send text messages to my wireless phone number for any purpose. Message and data rates may
apply. Message frequency will vary, and you will be able to opt-out by replying “STOP.”

For more information on how your data will be handled, please visit our Privacy and Cookies policy.

To unsubscribe from our SMS distribution list, click here.

Alinea Medical Imaging is affiliated with Rezolut. Who is Rezolut?

BILLING INQUIRIES

Pay By Phone 9:00 am - 9:00 pm EST: (855) 202-0042

Pay Online