Order Referral Pads
For more referral pads, please call (310) 423-5678. We have pads for the following areas:
- General Imaging
- PET/CT Referral Form
- Brain PET
- Cardiac Imaging
- Image-Guided Outpatient Procedure Referral Form
You may also click on the links above for downloadable and printable prescription forms.
Fax Prescription Forms
Please fax the completed forms to scheduling at (310) 423-0137.
Online Request to Schedule
You can also use our Online Request to Schedule Form.
The S. Mark Taper Foundation Imaging Center provides a full range of advanced imaging, both radiology and cardiology, as well as interventional radiology and interventional tumor (oncology) treatments to the greater Los Angeles area, including Beverly Hills, Encino, Mid-Cities, Sherman Oaks, Silver Lake, Studio City, Toluca Lake, and West Hollywood.