City Line Family Medicine

301 City Avenue ■ Suite 100 ■ Bala Cynwyd, PA 19004
Phone 610-617-1300 ■ Fax 610-617-0199 ■ Text/Voicemail* 484-429-9141

Test Results

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  • Please allow forty-eight (48) hours for a response to your request.  If test results are needed sooner please call 610-617-1300.
  • Providing incorrect information will delay the processing of your request.  Therefore review your information prior to submitting.
  • This service is only available to current, already established, patients of City Line Family Medicine as defined in the "Terms of Use" page.
Enter your Full Name: 
Date of Birth: - mm/dd/yy
Home Phone # with Area Code:
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Select your Primary Care Physician:
   
Please call me regarding my:   
X-Ray results CAT Scan results
MRI results Ultrasound results
Bone Scan results Dexa Scan results
Lab/Blood Test results Mammogram results
   
Test Date (enter at least the month):
Test Location: 
   
If you chose 'other' as the Test Location above provide location:

 

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