Submit a Referral Request

Address

44151 15th Street West
Lancaster, CA 93534

Contact information

Phone: (855) 502-2107

Fax: (844) 264-4257

Referral Forms

• Online Referral Form

Address

38660 Medical Center Drive, Suite A380
Palmdale, CA 93551

Contact information

Phone: (855) 502-2107

Fax: (844) 264-4357

Referral Forms

• Online Referral Form

Address

301 West Huntington Drive, Suite 400
Arcadia, CA 91007

Contact information

Phone: (855) 502-2107

Fax: (844) 264-4257

Referral Forms

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Address

301 West Huntington Drive, Suite 120
Arcadia, CA 91007

Contact information

Phone: (855) 502-2107

Fax: (626) 898-8016

Referral Forms

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Address

1500 East Duarte Road
Duarte, CA 91010

Contact information

Phone: (800) 826-4673

Fax: (844) 264-4357

Email: physicianrelations@coh.org

Referral Forms

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Address

400 North Pepper Avenue
Colton, CA 92324

Contact information

Phone: (855) 502-2107

Fax: (909) 387-0760

Referral Forms

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Address

401 East Highland Avenue, Suite D
San Bernardino, CA 92404

Contact information

Phone: (855) 502-2107

Fax: (909) 475-2738

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Address

1100 San Bernardino Road, Suite 1100
Upland, CA 91786

Contact information

Phone: (855) 502-2107

Fax: (844) 264-4357

Referral Forms

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Address

320 West 6th Street
Corona, CA 92882

Contact information

Phone: (855) 502-2107

Fax: (844) 264-4357

Referral Forms

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Address

6939 Palm Court
Riverside, CA 92506

Contact information

Phone: (855) 502-2107

Fax: (951) 683-7450

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Address

44274 George Cushman Court, Suite 100
Temecula, CA 92592

Contact information

Phone: (855) 502-2107

Fax: (951) 303-1800

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Address

36450 Inland Valley Drive, Suite 101
Wildomar, CA 92595

Contact information

Phone: (855) 502-2107

Fax: (951) 696-9748

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Address

222 West Eulalia Street, Suite 100-B
Glendale, CA 91204

Contact information

Phone: (855) 502-2107

Fax: (818) 637-5106

Referral Forms

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Address

720 East Colorado Street
Glendale, CA 91205

Contact information

Phone: (855) 502-2107

Fax: (818) 241-2946

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Address

15031 Rinaldi Street, Suite 150
Mission Hills, CA 91345

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Phone: (855) 502-2107

Fax: (844) 264-4257

Referral Forms

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Address

15031 Rinaldi Street, Suite 100
Mission Hills, CA 91345

Contact information

Phone: (855) 502-2107

Fax: (844) 264-4257

Referral Forms

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Address

5522 Sepulveda Boulevard
Sherman Oaks, CA 91411

Contact information

Phone: (855) 502-2107

Fax: (818) 997-0705

Referral Forms

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Address

7301 Medical Center Drive, Suite 100
West Hills, CA 91307

Contact information

Phone: (855) 502-2107

Fax: (818) 884-3861

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Address

412 West Carroll Avenue, Suite 200
Glendora, CA 91741

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Phone: (855) 502-2107

Fax: (844) 264-4257

Referral Forms

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Address

630 South Raymond Avenue, Suite 220
Pasadena, CA 91105

Contact information

Phone: (855) 502-2107

Fax: (844) 264-4257

Referral Forms

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Address

209 Fair Oaks Avenue
South Pasadena, CA 91030

Contact information

Phone: (855) 502-2107

Fax: (844) 264-4257

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Address

1250 South Sunset Avenue, Suite 303
West Covina, CA 91790

Contact information

Phone: (855) 502-2107

Fax: (844) 264-4257

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Address

1000 Five Point
Irvine, CA 92618

Contact information

Phone: (866) 403-3373

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Address

16300 Sand Canyon Avenue, Suite 207
Irvine, CA 92618

Contact information

Phone: (949) 333-7580

Fax: (949) 333-7599

Referral Forms

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Address

1601 Avocado Avenue
Newport Beach, CA 92660

Contact information

Phone: (949) 629-4769

Fax: (949) 536-8036

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Address

2100 Main Street #300
Huntington Beach, CA 92648

Contact information

Phone: (714) 963-8407

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Address

1043 Elm Avenue, Suite 104
Long Beach, CA 90813

Contact information

Phone: (562) 590-0346

Fax: (562) 437-8139

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Address

3747 Worsham Avenue, Suite 101
Long Beach, CA 90808

Contact information

Phone: (562) 430-5900

Fax: (562) 799-8379

Referral Forms

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Address

23823 Valencia Boulevard, Suite 250
Santa Clarita, CA 91355

Contact information

Phone: (855) 502-2107

Fax: (844) 264-4257

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Address

26357 McBean Parkway, Suite 150
Santa Clarita, CA 91355

Contact information

Phone: (855) 502-2107

Fax: (661) 259-1031

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Address

1157 Swallow Lane
Simi Valley, CA 93065

Contact information

Fax: (805) 527-2870

Referral Forms

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Address

425 Haaland Drive, Suite 101
Thousand Oaks, CA 91361

Contact information

Fax: (805) 204-4076

Referral Forms

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Address

5215 Torrance Blvd.
Torrance, CA 90503

Contact information

Phone: (855) 502-2107

Fax: (424) 291-4440

Referral Forms

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Address

600 Celebrate Life Parkway
Newnan, GA 30265

Contact information

Phone: (770) 400-6568

Fax: (770) 400-6900

Email: referrals@coh.org

Referral Forms

• Breast Imaging Form
• Digital Referral Form
• Printable Referral Form
• Online Referral Form

Address

2520 Elisha Avenue
Zion, IL 60099

Contact information

Phone: (847) 746-9990

Fax: (847) 342-4089

Email: referrals@coh.org

Referral Forms

• General Referral Form
• Breast Imaging Referral Form
• Non-oncology Infusions Referral Form
• Genetic Counseling and Testing Referral Form
• Online Referral Form

Address

160 Upper E. Illinois St.
Chicago, IL 60611

Contact information

Phone: (847) 746-9990

Fax: (847) 342-4089

Email: referrals@coh.org

Referral Forms

• General Referral Form
• Breast Imaging Referral Form
• Non-oncology Infusions Referral Form
• Genetic Counseling and Testing Referral Form
• Online Referral Form

Address

202 S. Greenleaf St., Suite E
Gurnee, IL 60031

Contact information

Phone: (847) 746-9990

Fax: (847) 342-4089

Referral Forms

• Breast Imaging Referral Form
• General Referral Form
• Non-oncology Infusions Referral Form
• Genetic Counseling and Testing Referral Form
• Online Referral Form

Address

9631 Gross Point Road
Suite 10
Skokie, IL 60076

Contact information

Phone: (847) 746-9900

Fax: (847) 675-3930

Referral Forms

• General Referral Form
• Breast Imaging Referral Form
• Non-oncology Infusions Referral Form
• Genetic Counseling and Testing Referral Form
• Online Referral Form

Address

3530 S. Val Vista Drive
Suite C204
Gilbert, AZ 85297

Contact information

Phone: (623) 207-3241

Fax: (623) 932-8631

Referral Forms

• Breast Imaging Order Form
• Digital Referral Form
• Printable Referral Form
• Online Referral Form

Address

2915 W. Rose Garden Lane
Phoenix, AZ 85027

Contact information

Phone: (623) 207-3241

Fax: (623) 932-8631

Referral Forms

• Breast Imaging Order Form
• Digital Referral Form
• Printable Referral Form
• Online Referral Form

Address

14200 West Celebrate Life Way
Goodyear, AZ 85338

Contact information

Phone: (623) 207-3241

Fax: (623) 932-8631

Email: referrals@coh.org

Referral Forms

• Breast Imaging Order Form
• Digital Referral Form
• Printable Referral Form
• Online Referral Form

Address

11209 North Tatum Blvd., Suite B200
Phoenix, AZ 85028

Contact information

Phone: (623) 207-3241

Fax: (623) 932-8631

Referral Forms

• Breast Imaging Order Form
• Digital Referral Form
• Printable Referral Form
• Online Referral Form