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      1. Spring 2011 - Buffalo
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          1. Online X-Ray Request Form
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      2. Spring 2011 - Rochester
        1. Welcome to Lifetime Health-e-News
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      5. October 2011 - Rochester
        1. Breast Cancer Awareness Month
        2. Flu Shot Sessions at Lifetime Health
        3. Physician Welcomes New Patients at Greece Practice
        4. Medicare Patients: Early Enrollment
        5. Highest Rating Given to All Lifetime Practices
        6. Hand Washing is Among Best Preventive Measures
        7. Like Your Medical Team? Tell a Friend
      6. November 2011 - Buffalo
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      7. November 2011 - Rochester
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Home > Patient Information > Online Health Management > Forms > X-ray Image Request

X-ray Image Request

Fill out the form below to request x-ray films for radiology procedures done at any of Lifetime Health Medical Group's health centers in the Buffalo area.

Please allow up to 2 business days to process your request. Please also note that you will need to sign a release form at the time you pick up your films, and that we may need to contact you for additional information.

Required fields are in bold.