REFERRALS FOR PHYSICIANS

We welcome consultations and referrals for all breast related cases. We hope to provide both you and your patients with quick and convenient access to care.  We are dedicated to providing the specialized services necessary to speed diagnoses and treatments. We will keep you promptly informed of all findings.  Please click the link below for a referral form you can fax or mail to us.

SCHEDULING FOR MAMMOGRAPHY AND ULTRASOUND:

Simply call us at 207-351-2023 and fax the

Breast Care Diagnostic Order Form (click here to open PDF)

to our office at 207-351-2036. 

FYI, for screening mammograms, the patient may schedule their own appointment should they wish.!

SCHEDULING FOR BREAST MRI:

Simply call 207-351-2023 and fax the

Breast Care MRI Order Form (click here to open PDF)

to our office at 207-351-2036. 

It will be helpful to have the following information:

• Patient’s name, date of birth, home and work phone numbers
• Diagnosis and indications for breast MRI
• Are any recent mammograms and/or ultrasound films and reports available?
• Schedule breast MRI between days 7 and 14 of the menstrual cycle
• Pre-certification of insurance is required prior to performing the MRI