Request an Appointment - Novant Health Imaging Triad

Request an Appointment - Novant Health Imaging Triad

Our online "Request an Appointment" feature is for patients who have a signed physician's order and would like to schedule a future appointment. This feature is not intended for same-day appointments.

To request an appointment at Novant Health Imaging Triad, please complete the form below and click "Submit." A scheduling representative will contact you to collect additional information and schedule your appointment.

For faster assistance, please call us at (877) 507-9729 (option 2).

  • Do You Have A Physician's Order?

    If yes, please proceed. If not, please contact your referring physician to obtain an order.

    We accept all physician-signed orders, even if they are on a hospital order form or prescription pad.

  • Your Information

  • Are you an existing patient? *
    Are you an existing patient?
  • Your date of birth * / /
    Pick a date.
  • Who is your physician? *
  • The Best Way To Reach You

  • Preferred method of contact *
    Preferred method of contact
  • Primary phone number - -
  • Alternate phone number - -
  • Appointment Details - Novant Health Imaging Triad

    What day and time would you like your appointment? We will do our best to find a time that works for you, but cannot guarantee the time you have requested.

  • Date you would like to be seen / /
    Pick a date.
  • Time you would like to be seen *
    Time you would like to be seen
  • Type of study/modality (select one or more) *
  • Additional Information


  • If you elected to be contacted by email, please note that all correspondence from Novant Health Imaging will be encrypted, and you will need to log into a secure portal to retrieve your messages. *
  • What is "three" as a number?