Downloadable e-Referral Forms

Lake Imaging offers a variety of referral forms for your convenience.

Open, complete and download your referral forms below

Download Blank Referral Forms

  • Downloadable eReferral

    Click here and save a copy to your desktop. Email this form to the provided address and we will contact the patient to make an appointment.

  • Downloadable Rapid Cardiac Assessment Clinic eReferral

    Click here and save a copy to your desktop. Email this form to the provided address and we will contact the patient to make an appointment.