Order Referral Pads
For referral pads, please call (310) 423-5678 or open and print the links below. We have pads in the following areas:
- General Referral Form
- PET/CT Referral Form
- Brain PET
- Cardiac Imaging Referral Form
- Image-Guided Outpatient Procedure Form
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.