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Letters of Protection

 

Greater Waterbury Imaging Center will provide Magnetic Resonance Imaging scans on Letters of Protection.  This is made possible with our exclusive agreement with New England Medical Legal Liaison and is available for attorneys working on personal injury cases. At GWIC, we simplify the referral and scheduling process. Please follow this process:

  • The patient’s treating physician will call our office at (203) 573-7674
  • The physician will tell us that they are referring a personal injury case
  • We’ll provide the MRI Procedure Request Form either as a pdf sent via email or you may fill in the information in this online form
  • Fax the signed MRI Procedure Request Form
  • We will contact you to confirm, get any additional information, and schedule the patient
  • We will contact the patient’s attorney to request the Letter of Protection

New England Medical Legal Liaison will manage the Letter of Protection, provide fees in advance, and be responsible for the billing and collection.

For more information, visit our webpage about the Letter of Protection.

A Message To Our Patients on COVID-19 Please Read

To protect all of our patients and staff, if you are experiencing flu-like symptoms(fever, cough, shortness of breath), if you have traveled outside the country or on a cruise in the past 14 days, or if you have had close contact with any person, including healthcare workers, who are a lab-confirmed COVID-19 infected patient within the past 14 days, please call to reschedule your appointment.  Read more