Refer a Patient
Unsurpassed Convenience for Referring Physicians
For convenience, efficiency, and expertise, turn to Optima Diagnostic Imaging for all your diagnostic imaging needs. Optima Diagnostic Imaging provides Referring Physicians with:
- High quality imaging services at an ACR accredited facility.
- Same-day medical imaging scans for their patients
- Fast reports and enhanced images via our web-based PACS system
- Advanced digital electronic medical records that streamlines reporting
To refer a patient without logging in, please use our Patient Referral Form below or download our referral form and send it by Fax: (310) 432-8995 or call (310) 432-8999. Thank you for your referral.
Please visit our Physician Resources page for a complete list of available studies, or:
Please note: It may take a few minutes to load the forms if you are using a dial-up Internet Connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon.

Patient Referral Form