computer tomography

Referring a patient is quick and easy! Just fill out a referral form and fax it to us
at (253) 815-1225.

Download Referral PadDownload

Tips for Completing Referral Forms

To ensure that the proper procedure is performed in a timely manner, please follow these guidelines when filling out the forms:

Providing us with a comprehensive list of the signs and symptoms the patient is experiencing is crucial in helping our interpreting radiologist provide an accurate diagnosis. It also allows us to demonstrate medical necessity. Please avoid using “R/O”, “Possible”, or “Probable” for reasons for the exam, and avoid blanket codes.

For patients with complex medical/surgical problems, please fax copies of recent office notes, operative reports, and/or hospital admission/discharge summaries.

Make sure you have included the following:

  • The healthcare provider’s name
  • Diagnosis code(s)
  • Name of exam
  • Patient’s name
  • Patient’s date of birth
  • Insurance authorization number
  • Phone numbers

Questions? Call us at (253) 815-1231 Monday - Friday, 8:30 a.m. - 5:00 p.m.

PACS log-in

Referring physicians have secure, HIPAA-compliant access to patients’ digital images and reports online through our PACS system.

If you do not yet have PACS software installed, contact Marketing and Customer Care, (253) 761-4200, ext 67608, email .