Complete the information below to inform us of your intent to upload prior patient images from other facilities. Upon submission, you will be taken to another page where you will upload your images via our secure portal. The Nuance PowerShare portal is fast, secure, HIPAA compliant, and does not require you to create an account. Patient InformationName(Required) First Last Date of Birth(Required)MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Physician InformationPhysician Name(Required) First Last Physician Phone Number(Required)Physician Email(Required) Upload InformationFacility Name or Clinic that Provided the Images(Required)Type of Images to be Uploaded(Required)Click to SelectBone DensityCTFluoroscopyMammographyMRINuclear MedicinePETUltrasoundX-rayOther