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BONY THORAX
BI-LATERAL RIBS X-RAY 3V
CHEST X-RAY 2V
RIBS X-RAY 3V
SPINE X-RAY
CERVICAL SPINE X-RAY
PELVIS X-RAY 2V
THORACIC SPINE X-RAY
SACRUM X-RAY
LUMBAR SPINE X-RAY
COCCYX X-RAY
LEFT UPPER EXTREMITIES
RIGHT UPPER EXTREMITIES
LEFT HAND 3V
RIGHT HAND 3V
LEFT WRIST 3V
RIGHT WRIST 3V
LEFT FOREARM 2V
RIGHT FOREARM 2V
LEFT ELBOW 2V
RIGHT ELBOW 2V
LEFT HUMERUS 2V
RIGHT HUMERUS 2V
LEFT SCAPULA 2V
RIGHT SCAPULA 2V
LEFT SHOULDER 3V
RIGHT SHOULDER 3V
LEFT CLAVICLE 2V
RIGHT CLAVICLE 2V
LEFT HAND DIGITS
RIGHT HAND DIGITS
LEFT HAND 1ST DIGIT 2-3V
RIGHT HAND 1ST DIGIT 2-3V
LEFT HAND 2ND DIGIT 2-3V
RIGHT HAND 2ND DIGIT 2-3V
LEFT HAND 3RD DIGIT 2-3V
RIGHT HAND 3RD DIGIT 2-3V
LEFT HAND 4TH DIGIT 2-3V
RIGHT HAND 4TH DIGIT 2-3V
LEFT HAND 5TH DIGIT 2-3V
RIGHT HAND 5TH DIGIT 2-3V
LOWER EXTREMITIES LEFT
LOWER EXTREMITIES RIGHT
LEFT FOOT 3V
RIGHT FOOT 3V
LEFT ANKLE 3V
RIGHT ANKLE 3V
LEFT HEEL 2V
RIGHT HEEL 2V
LEFT KNEE 3V
RIGHT KNEE 3V
LEFT FEMUR 2V
RIGHT FEMUR 2V
LEFT TIBIA/FIBULA 2V
RIGHT TIBIA/FIBULA 2V
HIPS BILATERAL W/ PELVIS 2V
HIPS UNILATERAL W/ PELVIS
LEFT FOOT DIGITS
RIGHT FOOT DIGITS
LEFT FOOT 1ST DIGIT 2V
RIGHT FOOT 1ST DIGIT 2V
LEFT FOOT 2ND DIGIT 2V
RIGHT FOOT 2ND DIGIT 2V
LEFT FOOT 3RD DIGIT 2V
RIGHT FOOT 3RD DIGIT 2V
LEFT FOOT 4TH DIGIT 2V
RIGHT FOOT 4TH DIGIT 2V
LEFT FOOT 5TH DIGIT 2V
RIGHT FOOT 5TH DIGIT 2V
HEAD
BI LATERAL TMJ X-RAY 2V
TMJ (Temporomandibular Joint) X-RAY 2 VIEW
LEFT MANDIBLE X-RAY 3V
RIGHT MANDIBLE X-RAY 3V
LEFT MASTOID X-RAY 2V
RIGHT MASTOID X-RAY 2V
LEFT ORBITAL X-RAY 4V
RIGHT ORBITAL X-RAY 4V
LEFT ZYGOMATIC ARCH X-RAY 2V
RIGHT ZYGOMATIC ARCH X-RAY 2V
SKULL X-RAY 3V
NASAL X-RAY 3V
SINUS X-RAY 3V
FACIAL BONE X-RAY 3+V

NEW XRAY FORM Medical Form

Urgent Care

xray

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Published: Aug. 1, 2017, 3:16 p.m.
Doctor: Dr. History Physical
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Sunnyvale, CA 94089

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