For Referring Physicians

Referral Form

For your convenience, download and print our Physicians Referral Form by clicking the button. Please CONTACT US with questions and to schedule an appointment for your patient.

Insurances Accepted

For your reference, see our MRI CPT coding guide:

  • Blue Cross
  • Blue Shield
  • Aetna
  • Cigna
  • Health Net
  • United Healthcare PPO
  • SeeChange
  • USA Managed Care Organization
  • Tri-Care
  • Beech Street
  • PHCS
  • CCN
  • Humana
  • MultiPlan
  • Guardian
  • Laborers Health & Welfare
  • Santa Clara Family Health Plans
  • PMG (Physicians Medical Group)
  • Valley Health Plan
  • Premier Care of Norther California
  • Northern California Advantage Group
  • Physician Partners
Personal Injury Liens
  • Falling, Hecht & Davis Law Firm
  • Attorney Julian J. Carash
  • Boden Law Firm
  • Key Health Management
  • EDS Financial
Government Contracts
  • Medi-Cal
  • Medicare
Workers Compensation Networks
  • AMR – Advanced Medical Resources
  • Coast to Coast
  • Diagnostic Village
  • DRN – Diagnostic Radiology Network
  • MedFocus
  • MDIA
  • MIS – Magnetic Imaging Services
  • MMR – Medical Management Resources
  • OCM – One Call Medical
  • PDM – Professional Diagnostics Mgmt
  • Select MRI
  • Techhealth
  • US Dept of Labor
  • US Imaging
  • Precise Imaging
  • Next Image


PremiereScan is committed to providing you with up-to-date, easily accessible patient information, in conformance with HIPAA security standards. On this site you can access patient diagnostic reports and images, both historic and current.

PACS Support

Support is available Monday through Friday 7:00 am to 6:00 pm. Please call:

New Users: Call us to request a username and password.

Existing Users: Call us if you have forgotten your username or password, and or if you require additional training.

Reports and Images Not Online:Patient diagnostic reports and images not available on the web can be accessed by calling us.