Information for Providers

Medical imaging is all we do here at University Medical Imaging, which means your patients’ scans are always our top priority.

Lien Information

Personal Injury & Work. Comp. Liens

Personal injury and workers’ compensation lien referrals are accepted based upon a 48-hour processing period. Contact us for more details through our contact page here, or by calling us at (916) 922-6747.

Request For Materials Form


                
                        
                            
							"*" indicates required fields
                        
 
 
                        Please complete the form below to request materials and brochures. (* means the field is required.) Jill Collins, our field account manager, would be happy to deliver your materials directly to your office. You may also may request items by calling 916-922-6747.
WHICH MATERIALS DO YOU NEED?
								
								Referral Pads
							

								
								Patient Information
							

								
								Other
							
How Many Referral Pads?*
Which Language?*
How Many Patient Information Sheets?*
Please Specify*
Medical Office / Organization
Contact Name*
Phone
Email*
                            
                        
*    
                    
                         
                                        Address Line 1
                                        
                                   
                                        Address Line 2
                                        
                                    
                                    City
                                    
                                 
                                        State
                                        
                                      
                                    ZIP Code
                                    
                                
                    
                
Comments
PhoneThis field is for validation purposes and should be left unchanged.

          
            
            
            
            
            
            
            
            
            
            
            
            
        
                        Δ

Cancel

Information for Providers

Lien Information

Personal Injury & Work. Comp. Liens

Send a Referral to University Medical Imaging

Access Images

Request for Materials Form