Please Note: PC must have XP Professional or Windows 2000.

To request a User ID and Password, please complete the required fields
and press the Send button. You may also print this page and fax it to us
at (401) 921-2909. A Support member will contact you.

Name:
(Physician, P.A., R.N.P)
  

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Company/Group Name:
  

*
     
Phone Number:.
  

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Email: .
  

*
     
Do you already have
a Synapse icon on
your desktop?
(from another imaging
center or hospital)
  

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User ID:
(Limited to 8 characters;
letters, #'s, etc.)
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.
    
Password:
(Limited to 8 characters;
letters, #'s, etc.)
  *
     
Confirm Password:
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The Imaging Institute

250 Toll Gate Road • Warwick, RI 02886
1301 Reservoir Avenue • Cranston, RI 02920
1500 Mineral Spring Avenue • North Providence, RI 02904
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