Referral Materials
  Get in Touch! - Referral Materials  - Office Locations
 

Ordering referral pads, patient brochures, case studies, etc., is just a click away.

Simply complete the information request form and click
"Send Request."

Your request will be processed and completed within 24 hours. Or, if you prefer to telephone in your request, please call (916) 363-3317, ext. 281.

 

Body Imaging Brochures and Information
MRI-CT-ULTRASOUND-MAMMOGRAPHY-X-RAY-DEXA
 Mammography Qty:
 Ultrasound- English and Spanish Qty:
 CT Qty:
 MRI- English and Spanish Qty:
 Bone Density Study (DEXA) Qty:
Other:
 List of contracted health plans
Qty:
 Directory of facilities/services Qty:

Requisition Forms: (Pads of 50)
 All SRMG Locations/Advanced Imaging Centers Qty:


Interventional Radiology Brochures and Information
 PICC LINES and PORT CATHETERS Qty:
 UFE Qty:
 EVLT- Endo Venous Laser Treatment Qty:
 Ambulatory Phlebectomy- Spider Veins Qty:
Other:
 List of contracted health plans
Qty:
 Directory of facilities/services Qty:

Requisition Forms: (Pads of 50)
 Advanced Imaging Center of Carmichael Qty:

Practice Name: (if applicable)
Name:
Address: Suite:
City: State:
Zip: Phone Number:
Comments:  
 
 
 
 
 
 
 
 
 
 

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