University Diagnostic Imaging - CareSubmit Terms of Use & Privacy

If you agree to all the terms of use and privacy, click or tap the blue button below for access to all forms.


Use of this form constitutes your agreement to be bound by CareSubmit’s Terms of Use and Privacy Notice. Please note that your provider’s HIPAA privacy policies (contact your provider for a copy of its Notice of Privacy Practices) may also apply to information you disclose on this form.
DO NOT USE THIS FORM FOR URGENT MATTERS. IF YOU ARE HAVING AN EMERGENCY, DIAL 911.


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