Continuing Education Courses - Loma Linda University Medical Center

Request to Schedule a Radiology Appointment

Note: If this is an emergency, please call 9-1-1.

To request an appointment at one of the LLUMC Radiology Facilities, please complete the form.  This form is not for urgent health problems, same-day appointments, or appointment cancellations.  For these types of appointments please call central scheduling at (909) 558-5533.  Email requests may take 1-2 business days for response.

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Your Information
Patient First Name:*
Patient Last Name:*
Patient Email Address:
Patient Date of Birth:*   
Contact Name (if Not Patient):
Contact Phone Number:*
Exam Being Requested:*
Best Time To Contact:*