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Referring physician

Information for referring physicians

For your Belgian insured patients, reimbursement is not always provided by the Belgian health insurance funds for examinations conducted by Open MRI Zen. Please inform your patient about this.

Using the request forms below, you can easily refer a patient to us for an MRI scan, ultrasound or ultrasound-guided intervention. You can fill in these forms online, print them and then give them to your patient.

The request form for an MRI scan for patients: MRI Request

The request form for an ultrasound for patients: Ultrasound Request

You or the patient can also make an appointment with us by phone.
On the day of the examination, your patient will be reminded by text message and e-mail of the appointment and what time they should come in.


For referrers in the Netherlands, ZorgDomein can also be used.

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