Consults & Referrals

Below are resources for your use. As always, feel free to call us at anytime rather than using forms or other means to contact us. We’re here to partner with you on your cases in whatever way works best for you!

Click here to submit an online patient referral.

If you’d rather fax this form back to us, please see below for a PDF version you can download. As always, you are welcome to just call us and have a conversation about the case, rather than use any form, anytime.

Outpatient Ultrasound/Radiographs

You are welcome to use this form to submit case information to us electronically. The form may also be downloaded (by clicking the button below) and faxed back to us, if that’s easier for you. As always, you are welcome to just call us and have a conversation about the case, rather than use any form, anytime.

Teleradiology Registration

BluePearl’s board-certified radiologists will interpret and consult on digital images submitted through a secure server. Our radiologist will email and fax a report back to you. Register for your hospital’s account here. For more information, to have us handle the registration process for you, or to arrange for training, please call us at 781.684.8387.

Downloadable Forms

The above forms are also available in pdf versions here and can be printed out and faxed to us: