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RAYUS Radiology fax number

(206) 524-5338

Radiology

Used for: Medical records submission and imaging referral orders (e.g., chiropractic imaging referrals) to the Seattle location

Fax destination details

Department
Radiology
Purpose
Medical records submission and imaging referral orders (e.g., chiropractic imaging referrals) to the Seattle location
Form
Chiropractic Order Form — Chiropractic Order Form - Washington
Address
115 NE 100th St, Suite 101, Seattle, WA 98125
Voice phone
206-524-5599

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  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Fill in patient name, date of birth, sex, primary and secondary phone numbers; provide insurance name and ID and authorization if required; enter the ordering provider's name and location; date of exam; and the reason/diagnosis for the imaging exam. The form supports radiology imaging orders (MRI/CT/X-ray) and may include instructions for sedation or contrast. It also includes a 'Reporting Method' indicating Routine Read and call for results.

Official form instructions are published as a downloadable file on the organization's website.

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