Scheduling Services
You may download and print referral forms for medical and dental procedures by clicking on the appropriate Referral Form PDF below.
Everett Radia
Scheduling: 425-787-5660 or 866-990-6200 (toll-free)
Fax: 425-787-5661
Everett Imaging Referral Form
Everett SimPlant Referral Form
Evergreen Radia
PET/CT: (425) 952-6111
PET/CT Fax: (425) 952-6110
SimPlant (425) 952-6100
All other procedures: (425) 899-2831
Evergreen Imaging Referral Form
Evergreen PET Imaging Referral Form
Evergreen SimPlant Referral Form
Stevens Radia Imaging Center
Scheduling: (425) 640-4949
Fax: (425) 640-4940
Stevens Radia Referral Form
Stevens SimPlant Referral Form
Swedish Radia Imaging Center
Scheduling Phone: (425) 394-0660
Fax: (425) 394-0865
Swedish Radia Referral Form
Swedish SimPlant Referral Form
Radia Center for Vascular Disease
Scheduling: (425) 258-4624
Fax: (425) 259-1063
Vascular Referral Form
Radia Vein Center at Mill Creek
Scheduling: (425) 740-2180
www.radiaveincenter.com
Referral Forms
We offer convenient Referral Form pads featuring maps to our facility, exam
preparations, phone numbers and our web site address to make things easier
for your staff and your patients. To order forms
for your office, call 425-297-6278 or email us at webcontact@radiax.com
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