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Referring Physician Information

Downloadable Forms

Unknown Provider Form (pdf)
If this is your first time referring a patient to Stanford for Imaging, please complete a ONE TIME form for the Medical Staff Office provider database.

Requisition / Exam Order Form (pdf)

Image Library Image Upload Request Form (pdf)

Links

Referring Physician Resource Center
Referring physicians are encouraged to contact the Referring Physician Resource Center (RPRC) which is designed to offer physicians direct access to a nurse who can facilitate and monitor requests including:

Physician Referral Liaison Service
The Physician Referral Liaison Service is a department within Stanford University Medical Center that provides a communication link with referring physicians, medical groups and health plans throughout California.

Stanford Radiology 3-D Laboratory

Stanford Radiology School of Medicine

Referring Physician Portal PRISM

Stanford Medicine Resources:

Footer Links: