Send Us Your MRI

Share your MRI report and a diagram of your symptoms. Our team will review your case to see if it's a good fit for a consultation with Dr. Hirsch.

How It Works

1. Submit
Send your MRI report and a pain diagram.
2. Review
Our team reviews your case for fit with the conditions Dr. Hirsch treats.
3. Next Step
If it's a good fit, we'll contact you to schedule a consultation, in person or by telemedicine.
Dr. Brandon Hirsch reviewing an MRI scan with a patient
Upload MRI Report (optional — PDF or photo)
Upload Pain Diagram (optional — PDF or photo)

Download the blank pain diagram (PDF) — print it, mark where it hurts, then photograph or scan it.

This form is transmitted securely to our team. Submitting this form does not establish a physician-patient relationship. For more information, see our Notice of Privacy Practices.

Your information is private and reviewed only by our team.