Imaging Physician Order Form
For ordering or scheduling questions, call 303.270.2420.
View a list of our imaging tests.
Imaging Order Form
This form (Rad-019) is for all imaging studies excluding echocardiograms. Please fill out all sections of the form. Authorization needs to be obtained prior to scheduling.
- Download the order form (pdf) and fax it to scheduling at 303.270.2501.
- A scheduler will contact the patient after your form is received.
- For ordering or scheduling questions, call 303.270.2420.