Diagnostic Imaging Request Form

Diagnostic Imaging Request Form PDF

Please FAX to 206.364.3667 (Seattle) or 425.251.1652 (Renton). Our referral coordinator will call to confirm receipt.

Please feel free to call 206.364.1660 with any additional questions or patient updates.

For ACCES patient referral instructions, please download here.

Click here for an overview of the benefits of a CT scan.