Refer a Patient to Minnesota Diagnostic Center

If you are a doctor and would like to refer a patient to the Minnesota Diagnostic Center (MDC), please download and complete the MDC Patient Referral Form below. After completing the form, please fax to 612.879.0913. This form gives us valuable information regarding your patient's history and symptoms. However, it is still necessary for you or your patient to call 612.879.1549 to schedule an appointment.

Downloadable Form:
MDC Patient Referral Form (558 KB PDF)

Make an Appointment:
Direct: 612.879.1549
In-state: 800.489.2719
Toll-free: 800.328.9713

Fax: 612.879.0913

Thank you for your referral. It is our priority at MDC to provide the highest quality service, state-of-the-art technology and clinically relevant interpretations.

Viewing Forms

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