Information for referring physicians
Using the request forms below, you can easily refer a patient to us for an MRI scan, ultrasound or ultrasound-guided intervention. You can fill in these forms online, print them and then give them to your patient.
The request form for an MRI scan for patients: MRI Request
The request form for an ultrasound for patients: Ultrasound Request
You or the patient can also make an appointment with us by phone.
On the day of the examination, your patient will be reminded by text message and e-mail of the appointment and what time they should come in.
For referrers in the Netherlands, ZorgDomein can also be used.