Online Referral Form
This form is for existing clients only. Please include the following information in your e-mail: Hospital Name, Hospital ID, Fax Number, Patient Signalment, Patient History
If you do not know your Hospital ID or you would like to register for an ID, please contact us.
To submit your images to us, there are two options:
1) Perform a DICOM peer-to-peer transfer to our DICOM server after submitting this form.
2) Use our web-based File Transfer system to upload your image files to our server. You can either use the 'Drop Box' option or login with your ID and password if you know it.