Emergency Service

Please use the following form to submit an after-hours, holiday, or emergency service request. Please note that these service requests incur an additional charge on both the hourly service rate and travel time. A technician will return your call as soon as possible.

For non emergency requests please use the form on the Contact page, or call our office at (253) 939-6736 - thank you.

Please be advised that emergency service with our on call technicians does incur a higher cost than our normal hourly service coverage, including point to point travel time from the technician's home. Use of this system for general inquiries or help outside of normal business hours that does not result in a technician physically coming to your site may still result in service charges to your clinic. For general inquiries or support please use the standard contact form.

All service requests made under contract accounts must be valid and billable under our existing contract with your company and the company requesting will be responsible for any charges incurred by requesting a technician outside of normal operating hours.

By filling out the form below, you are agreeing to the terms set forth by Washington X-Ray, Inc. for emergency x-ray services. All IP addresses are logged for all submission requests. Thank you.

Please complete the form below

Site Contact Name *
Site Contact Name
Address *
Address
Address of clinic or business
Contact Phone Number *
Contact Phone Number
Agreement of Service Terms *
I am authorized by my clinic or place of business to request this service and agree to be responsible for any charges incurred by an after-hour, emergency, or holiday service request. I attest to the accuracy of the above information.