Hilltop Imaging & Diagnostic Center
Hilltop Imaging & Diagnostic Center
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    • Online Form
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ONLINE REFERRAL

Hilltop Imaging Online Referral Submission

Generate and submit an instant online referral. A referring healthcare provider must complete the online form to generate an instant online request. Please fill out all required information and attach documents related to the imaging request. Only a requisition written by an MD, DO, PA, NP, or DC provider will be accepted.

BEGIN ONLINE REFERRAL

Click here to begin online referral

Hilltop Imaging & Diagnostic Center
2970 Hilltop Mall Road, #103, Richmond, CA 94806

Email: choej@hilltopimaging.com


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Phone: (510) 223-5122 | Fax: (510) 223-5125

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