Pre-certification Instructions

It is the responsibility of the referring physician’s office to obtain pre-certification for a PET/CT scan through any insurer requiring prior authorization. Pre-certification must be obtained prior to the patient’s appointment and list the correct facility/location where the patient is having their scan. To book a study, please refer to the list of locations and hours of operation for each site listed below. You may also download the Physician Order Form for an FDG-PET/CT Scan or an 18F-Sodium Fluoride (NaF) PET/CT Bone Scan for each site below.

New England PET Imaging System at Holy Family Hospital
70 East Street
Methuen, Massachusetts 01844
Hours: Monday through Friday - 8:00 AM to 4:30 PM
PH: (978) 689-4738
FAX (978) 682-0984
Physician Order Form – Methuen

New England PET of Greater Lowell
The Cancer Center at Lowell General Hospital
295 Varnum Avenue, Suite 200
Lowell, Massachusetts 01854
Hours: Monday through Friday - 8:00 AM to 4:30 PM
PH: (978) 458-9872
FAX: (978) 458-9876
Physician Order Form - Lowell

New England PET at The Elliot at River’s Edge
185 Queen City Avenue
Manchester, NH 03101
Hours: Monday through Wednesday - 8:00 AM to 4:30 PM
PH: (603) 663-2370
FAX: (603) 663-2379
Physician Order Form - Manchester

Massachusetts Mobile PET, P.C.
Merrimack Valley Hospital
140 Lincoln Avenue
Haverhill, MA 01830
Hours: Fridays – 8:00 AM to 4:30 PM
PH: (888) 560-4738
FAX:(978) 682-0984
Physician Order Form - Haverhill

Patient Preparation
For information on preparing for an FDG PET/CT scan or 18F-Sodium Fluoride (NaF) PET/CT bone study, please click on Scheduling and Preparation in the Patient Information section above.