Referring a patient is quick and easy. Just fill out the appropriate referral form and fax it to us at (253) 761-4201.
Questions? Call us at (253) 761-4200 Monday – Friday, 7:30 a.m. – 5:30 p.m.
Downloadable Referral Forms
TRA Common Exam Form
TRA Specialty Exam Form
Breast Imaging & Bone Density
Interventional & NeuroInterventional Exams and Procedures
Please contact our Marketing department at (253) 761-4200 x 67608 or if you would like referral pads sent to you.
Tips For Completing Referral Forms
To ensure that the proper procedure is performed in a timely manner, please follow these guidelines when filling out the forms:
Providing us with a comprehensive list of the signs and symptoms the patient is experiencing is crucial in helping our interpreting radiologist provide an accurate diagnosis. It also allows us to demonstrate medical necessity. Please avoid using “R/O”, “Possible”, or “Probable” for reasons for the exam, and avoid blanket codes.
For patients with complex medical/surgical problems, please fax copies of recent office notes, operative reports, and/or hospital admission/discharge summaries.
Make sure you have included the following:
Referring physicians have secure, HIPAA-compliant access to patients’ digital images and reports online with TRA Web (PACS).
If you do not yet have PACS software installed, email us at