For Referring Physicians

Refer Your Patients to Chicago's Board-Certified Mobile Vascular Ultrasound Specialists

Advanced Clinical Imaging accepts vascular ultrasound orders from any referring physician in Illinois — podiatrists, wound-care specialists, nursing-home medical directors, and home-health agencies. No MIMIT affiliation. No network enrollment. We come to your patient, deliver a same-day defensible report, and bill independently.

Submit a Referral Order

Referring Physician Details

Physician Name *

Required

Practice / Facility *

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Phone *

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Email *

Valid email required

Patient Information

Patient Name *

Required

Date of Birth *

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Insurance *

Required

Order Details

Type of Study *

Required

Preferred Date *

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Diagnosis / Clinical Notes *

Required

✅ Referral Received!

Our team will confirm scheduling within minutes.

Urgent? Call: (866) 776-1157

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