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Our radiologists lead the way in prostate imaging. We offer the newest techniques to better detect and stage prostate cancer. Call 310-481-7545 to find out more about prostate imaging and treatment options.

Imaging Services

Physician Offices: please refer your patients to us using the forms below, and fax directly to our Radiology Central Access 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 (310) 794-9035 "Attn: UCLA Prostate Imaging Program".
MR Prostate Radiology Requestion Form Preview

MR Prostate Radiology Requisition Form

MRI Safety Screening Questionaire Preview

MRI Safety Screening Questionnaire


Targeted In-bore MRI-Guided Biopsy

Physician Offices: please refer your patients for the prostate biopsy using the form below, and fax directly to our Radiology Central Access 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.
  • Fax both forms to (310) 794-9035 "Attn: UCLA Prostate Imaging Program".
MR Prostate Radiology Requestion Form Preview

MR Prostate Radiology
Requisition Form


Treatment Services (PAE, TULSA)

Please call the Interventional Radiology Clinic Scheduling Team at (310) 481-7545 to schedule your consultation with a Interventional Radiologist.

You can also submit a request form here: Request an Office Visit >