*****NOTICE*****

Before requesting services, you must review and understand our policy statement.

• To file a service request, download the Service Request Form in PDF format.
  (Right-Click and choose Save As...)

(To view the PDF file, you need Adobe Acrobat Reader.)

The completed request form can be sent to:
Preclinical Imaging Resource
c/o Dr. Richard Mazurchuk
Roswell Park Cancer Institute
Elm & Carlton Streets
Buffalo, NY 14263
or faxed to: 716-845-1764


Please direct MR Imaging questions/concern by calling 716-845-5839.