Provider and Attorney Imaging Referrals

Provider and Attorney Imaging Referrals

Provider and Attorney Imaging Referrals

Dynamic Digital Radiography (DDR) ยท Digital X-Ray ยท Musculoskeletal Imaging

Diagnostic imaging services provided by J Park Chiropractic, P.C.

Who Should be Referred

Who Should be Referred

  • Patients with neck, back, shoulder, or hip pain that worsens or changes with movement

  • Suspected instability, alignment issues, or abnormal movement patterns

  • Post-traumatic, sports injury, personal injury, or chronic unresolved cases

  • Patients whose symptoms do not fully correlate with static imaging

  • Athletes and complex biomechanical cases needing movement-based evaluation


Why DDR / In-Motion Digital X-Ray?

Why DDR / In-Motion Digital X-Ray?

  • Visualizes movement rather than a single static position

  • Helps assess alignment, segmental motion, and functional instability

  • Provides dynamic imaging that may support clinical decision-making and post-surgical assessment

  • Fast, non-invasive, and useful when motion matters

For Healthcare Providers

For Healthcare Providers

  • Helps guide more targeted treatment planning

  • Useful for co-management and complex musculoskeletal cases

  • Clear findings and motion-based insight for clinical review

To refer a patient, fax the provider referral form with the order or clinical indication and any relevant records to 714-441-9454.

For Attorneys

For Attorneys

Refer Your Client for a Diagnostic Imaging Evaluation

Imaging is performed when clinically indicated following review of the referral and/or appropriate clinical evaluation.

  • Complete the referral form in the Attorney Referral Packet with your clientโ€™s contact details, date of injury and areas of concern.

  • If you want results and records sent to your office, have your client sign the authorization in the packet. A letter of representation alone is not an authorization.

  • Fax the forms, your letter of representation if applicable, and any relevant records to 714-441-9454.

Results and records are released to your office only with your clientโ€™s signed authorization naming your firm.

What the Imaging Report Includes

What the Imaging Report Includes

  • Motion imaging review

  • Key representative image frames

  • Summary of findings

  • Recommendations or follow-up guidance as appropriate


Secure Fax Referral

Secure Fax Referral

Complete the referral form for your role and fax it with any relevant records to 714-441-9454. To request a form, call 714-441-9455.

  • Healthcare providers: Provider Referral Form

  • Attorneys: Attorney Referral Packet, which includes the patient authorization to release records

Please do not send protected health information through our general website contact form or standard email.

Referrals are received by J Park Chiropractic, P.C.