Skip to content
Home
About Us
FAQs
INJURY AGE BENEFITS
Order Now
Menu
Home
About Us
FAQs
INJURY AGE BENEFITS
Order Now
Order Now
Email Address
*
Injury Type
*
Please select an option
Ankle - Left
Ankle - Right
Elbow - Left
Elbow - Right
Knee - Left
Knee - Right
Shoulder - Left
Shoulder - Right
Spine - cervical
Spine - lumbar
Spine - thoracic
Wrist - Left
Wrist - Right
Other
Scan Type
*
Please select an option
Bone Scan
CT
MRI
X-ray
Enter Injury/Incident Date
*
Enter Date of Birth
*
Gender
*
Male
Female
Enter Diagnostic Image Date
*
*Optional* - Enter Name if you want it listed on report
RUSH
*
Yes
No
Upload Diagnostic Image
*
Choose File
No file chosen
Delete uploaded file
Select Service/Product Type
AI Injury Age Report – No Subscription
AI Injury Age Report with subspecialty radiology interpretation
Comprehensive and Independent Subspecialty Radiologist Report
Subscription Only (See Section Below) - No Additional Reports Needed
Other
ASK US ABOUT VOLUME DISCOUNTS OF MORE THAN 30% DOWN TO $99.00 FOR COMPREHENSIVE RADIOLOGIST REPORTS!
Please let us know what you need and we will send you a cost breakdown
Subscription
AI Injury Age Report Subscription - Monthly $11.99 - ASK US ABOUT SUBSTANTIAL DISCOUNTS OF UP TO 75% FOR MULTIPLE USERS!
AI Injury Age Report Subscription - Annual $99.00 - ASK US ABOUT SUBSTANTIAL DISCOUNTS OF MORE THAN 75% FOR MULTIPLE USERS!
Subspecialty Radiology Interpretation for a Monthly or Annual AI Report Subscriber $75.00
AI Injury Report - With Subscription $1.85
Total:
Credit / Debit Card
*
Submit
