Carol Milgard Breast Cancer
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Home > Referring Physicians > Physician Referral Forms

Physician Referral Forms

  • Physician Referral Forms
  • View Patient Images/Report
  • Contact a Radiologist
  • Physician Satisfaction Survey

Patient referral made easy

There are two ways to refer a patient to the Carol Milgard Breast Center. You can call our patient referral desk, which is open from 8 a.m. to 5 p.m., Monday thru Friday, or you can print the community referral form. Simply fill out the form and fax it to us.

How to contact us:

Referral Desk
Phone: (253) 759-2622 or (866) 758-2622 (toll-free)
Fax: (253) 572-4324

Useful Links

Contact a staff radiologist

Print a community referral form

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