Radiology Clinic Consultation Appointment Request

Thank you for your interest in making a clinic consultation appointment with one of our Radiologists. Please provide the requested information below and we will respond to your request as soon as possible. If you need to speak with someone urgently, or if you prefer to discuss the reason for your appointment over the telephone, please call us at (310) 481-7545, M-F 8am to 5pm.

Please do not use this form to request diagnostic imaging study appointments (CT/Mammo/MRI/PETCT/US/XR). X-Rays are walk in and do not require an appointment. Most Screening Mammograms can be scheduled online via MyUCLAHealth at See our locations at To schedule your diagnostic imaging study, please call the Radiology Central Scheduling Team at (310) 301-6800, M-F 7am to 7pm

Type of request