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 (443) 436-4270. A Support member will contact you.

Name:
(Physician, P.A., R.N.P)
 

*

     
Company/Group Name:
 

*

     
Phone Number:.
 

*

     
Email: .
 

*

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

Yes No

     

*Denotes required field.

 



The Imaging Institute

250 Toll Gate Road • Warwick, RI 02886
1301 Reservoir Avenue • Cranston, RI 02920
1500 Pontiac Avenue • Cranston, RI 02920
1500 Mineral Spring Avenue • North Providence, RI 02904
450 Veterans Memorial Parkway #8 • East Providence, RI 02914


Copyright 2007 - The Imaging Institute
Webmaster - Notice of Privacy Practices