Deutsch
Home | Services | Experience | Technology | FAQ | Refering Physicians | Contact
Case studiesGroup studiesPublicationsBooking
Referring patients is easy
For your convenience we provide several methods to refer your patients.
By phone.
Simply call at +41 (43) 888 3300 and arrange an appointment.

By Fax.
Download a registration form and fax it to +41 (43) 888 3301.

Registration form english PDF (436 KB)
 Registration form german PDF (136 KB)
 Registration form french PDF (364 KB)

Online.
Complete the online registration form and send it.
* Compulsory fields.
Patient information
Surname*
First name*
Date of birth*
Address*
Home telephone*
Work telephone*
Insurance company/
provider*
Insurance number
Illness Accident Paying privately
Date of accident
Region/organ
HeadMRA
NeckMRA		 Whiplash injury
protocol
Cervical spine
Thoracic spine
Lumbar spine
Hip
Knee
Ankle
Foot

right
left		 Shoulder
Elbow
Wrist
Hand

right
left
Abdomen
Pelvis
MRCP
Prostate		 Other
Position
(Per region/organ two positions maximum are clinically relevant.)
Sitting Standing Recumbent (neutral position)
At Radiologist’s discretion
Neutral Flexion
Extension Lateral bending
right left
Rotation
right left
The Radiologist can adapt the examination strategy depending on the findings.
 
Chief complaints
and brief history
Special instructions
or questions
Allergies/diabetes/
cardiovascular illness
 
Physician*
Phone*
Fax*
Email*
Report language EnglishGermanFrench
Copy of report to
The images are normally printed on high quality paper. If you explicit want plain film, please mark here. At first the report will be sent per fax, and followed by post incl. CD-Rom.
Plain film
If you must reschedule or cancel your appointment, please give at least 24 hours notice. Unfortunately we will have to charge for missed appointments.
Patient information
The fmri is the only truly open system. Compared to conventional MRI, there is nothing immediately in front of the patient. This ensures a more pleasant and relaxed examination without confinement. To feel totally at ease, we suggest you wear comfortable clothing without metal fasteners (T-shirt, tracksuit bottoms).

As the apparatus has a magnetic field, you must not carry any metal objects on you. Electronically stored data (such as credit cards) should also not be brought into the vicinity of the magnet. It is therefore imperative that you remove the following objects in your changing cubicle: watch, credit card, mobile phone, glasses, wedding ring, jewellery, piercing jewellery, metal objects such as lighter, pocket knife, coins, keys, hair clip, etc. There is a safe at your disposal in the changing cubicle for this purpose.

Download parent information (PDF 116 KB)
(in german)
fmri Zentrum
Baslerstrasse 30
CH-8048 Zurich
Switzerland

Phone +41 (43) 888 3300
Fax +41 (43) 888 3301

fmriz@fmri.ch


fmri Zentrum opening hours:
Monday to Friday
07.30 to 19.30

How to find us