Referring Physicians

To order a test or procedure for your patient, please complete our Radiology Referral Form and fax to (669) 888-0551.  Once the Radiology Referral Form is submitted, please schedule an appointment by calling or having your patient call, Radiology Scheduling at (669) 888-0001. This will complete your order request.

Requisition Forms

• CPT Code Forms
• Referrer Ordering Guidelines

Pre-Authorization Service

Let our Patient Service Representatives interact with the insurance companies on your behalf in obtaining authorization for medically necessary imaging. Please call Radiology Authorization at (669) 888-0001 for more information.