Referring Physicians

To order a test or procedure for your patient, please complete our Radiology Referral Form and fax to (650) 964-1522.  Once the Radiology Referral Form is submitted, please schedule an appointment by calling or having your patient call, Radiology Scheduling at (650) 964-1505. This will complete your order request.

 

Requisition Forms

CPT Code Forms

 

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 us at (650) 964-1522 for more information.