Radiology Central Scheduling
Holiday Closures: New Year's Day, President's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving, and Christmas.
Please refer your patients to us using the forms below, and fax directly to our scheduling team for follow up.
They are able to discuss the details of our screening options with you should you have any questions.
- Fill out the MR Prostate Radiology Requisition Form.
- Fill out the MRI Safety Screening Questionnaire.
- Fax both forms to Attn:
UCLA Prostate Imaging Program (310) 794-9035.