PATIENT REFERRALS
To refer a patient to Central Oregon Radiology Assoc., P.C. please download and print the referring physician form(s), and complete the information needed making sure the order is signed by the physician. Fax the order to (541) 382-6635, then have either your office staff or your patient call to schedule the procedure.

If you are scheduling an exam that requires a contrast injection, a recent creatinine may be required prior to the exam. Some insurance companies may require pre-authorization for certain procedures.

Patient Referral – CORA

Patient Referral – CMI/COMRI
Contrast and Premedication Information – CORA
PET Exam to be Scheduled
Referral Form – FDG PET

CALL (541) 382-9383 TO SCHEDULE YOUR EXAM AT THE LOCATION NEAREST YOU!