Northwest Diagnostic Clinic

Please help us identify you:

Daytime Telephone

(between 8 a.m. and 5 p.m.)

Who were you scheduled to see?

(name of doctor, PA or ancillary service)

What was (were) the date(s) and time(s) of your appointment(s)?

(free text)

Would you like us to contact you to reschedule?

If the above number doesn't reach you, is there another number that might?

(include area code)

Finally, what is your e-mail address? (xxxxx@yyyyy.com)

(free text)

To cancel an appointment