Forms

The following forms are provided for health care providers to order imaging exams at all of the Vantage Radiology sites. Please print the form of your choice and either fax it to the facility directly or have the patient present it at the site at time of the appointment.
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Auburn Diagnostic Imaging Services

MultiCare – Auburn Medical Center

Overlake Breast Health Center

The Breast Center

UW Medicine – Valley Medical Center

Valley Diagnostic Imaging Services – Medical Arts Center

Valley Diagnostic Imaging Services – Olympic Building

Vanishing Veins Northwest