Admit a Patient (323) 361-2312 24-hour service Request a Transport (323) 361-2312 NOTE: You must have a transport agreement with us Email Us
Refer to a Clinic 1. Complete our GENERAL REFERRAL FORM 2. Check below to see if the clinic to which you are making the referral requires a special referral form 3. Once you have completed your forms, fax them to the clinic number listed below
Special Referral Form
Fax
Phone
Diabetes Referral Form
Pre-Scheduling Evaluation Form Radiology Referral Form
Radiology Pre-Scheduling Evaluation Form Radiology Referral Form
