We’ve made our most popular medical imaging and diagnostic imaging forms and provider resources available online so you can access them instantly, 24 hours a day.

Referral Resources

Diagnostic imaging order form

Download our Diagnostic Imaging Order Form as a fillable PDF. We also offer custom referral pads with your provider name and clinic information printed directly on the form. Referrals can be faxed to (360) 255-6331 or submitted electronically and securely through our HIPAA compliant ShareFile. To request materials or a custom order form, contact the marketing and business development department at (360) 428-7279.

In-network insurances and pre-authorization

Bellingham Advanced Medical Imaging is an in-network provider for major health insurers and plans. We also work with Medicare, Medicaid (Apple Health), workers compensation and auto insurance claims.

Provider resources

CPT quick reference guides

• MRI Screening Form
• CT Scan Full Form
• Ultrasound

Ordering Reference Guide

PACS Access

Map and Directions