Send us your MRI

By filling out the MRI Request form you acknowledge and agree:

  • That your personally identifiable health care information can be shared with employees of Hanczaryk Chiropractic Neurology Group
  • That the MRI review is providing only an informational review of the documents that you are providing.
  • That the information provided by our Physicians is not a form of diagnosis. A diagnosis can only be made if you have been physically examined by one of the Physicians at the Hanczaryk Chiropractic Neurology Group.

The Hanczaryk Chiropractic Neurology Group acknowledges and agrees:

Upon receipt of the MRI Submission form it will not share your personally identifiable health care information to third parties without your written consent.

Send your MRI Studies to the address listed below:

Hanczaryk Chiropractic Neurology Group
8185 Holly Road Suite 14
Grand Blanc, MI 48439

Please be sure to include your name, mailing address and telephone number.

To insure that we can track your MRI Review Submission properly, please submit the following information.

* Name:
* Street Address:
* City:
* State:
* Zip:
* Email:
* Phone:
* Type of Insurance
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