PET Referral Forms

Vantage Radiology is dedicated to serving patients and health care providers with the best in service, imaging, interpretations, and imaging guided procedures.

Please complete all of the forms listed below to order a PET scan at Valley Diagnostic Imaging Services – Olympic Building site.

PET Referral Forms

• PET Checklist Form (PDF)
• PET Patient Preparation Information (PDF)
• PET Order Request (PDF)

Additional Information (Flyers)

• Vantage Pylarify (PDF)
• Vantage Dotatate (PDF)
• Vantage Illucix (PDF)