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:
- Cardiac Form (PDF)
- CT Lung Cancer Screening Order Form (PDF)
- General Form (PDF)
- Map and Prep Form (PDF)
- Orthopedic and Spine Form (PDF)
- Image-Guided Outpatient Procedure Referral Form (PDF)
- Vascular Ultrasound Form (PDF)
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.