Download referrals
and brochures

ARA’s referral order forms and patient exam brochures are available for your use via quick download below.

If you would like hard copies of these materials delivered to your practice, simply complete our Literature Request Form.

Referral Order Forms

• Adult Referral – English | Spanish
• CT Dental Scan Order Form – English
• CT Lung Screening Referral and Questionnaire – English
• I-131 Thyroid Treatment Referral – English
• Insurance & Location Card – English
• Interventional Referral – English
• Map & Locations (Patient) – English | Spanish
• MRI Prostate Referral Form – English
• MSK Referral – English
• Neuroradiology Referral – English
• Pediatric Referral – English | Spanish
• PET/CT Prescheduling Form – English
• PSMA Treatment Referral – English
• PRRT/Lutathera Treatment Referral – English

Informational Flyers

• Breast Biopsy Markers FAQs – English/Spanish
• CT-MRI CPT Code Diagram – English
• PSMA (Pluvicto) Provider Information Flyer – English 
• PSMA (Pluvicto) Patient Information Flyer – English
• ARA Theranostics – A Guide for Patients – English
• CT Calcium Scoring for CAD – English

Exam Brochures for Patients

• Abdominal Aortic Aneurysm Screening – English
• Bone Densitometry – English
• CT – English
• CT Calcium Scoring – English
• Hysterosalpingogram (HSG) – English
• Mammography – English | Spanish
• MRI – English
• Myelogram – English
• Peripheral Arterial Disease Treatment – English
• PET/CT – English
• Prostate Artery Embolization for Enlarged Prostate – English
• ARA Radiation Safety Information – English
• Stereotactic Breast Biopsy – English | Spanish
• Stop Smoking – English
• Ultrasound – English
• Ultrasound Guided Breast Biopsy – English | Spanish
• Uterine Fibroid Embolization – English
• Varicocele Embolization – English

Self-Exam Guides for Patients

• Breast Self-Exam in the Shower – English | Spanish
• Testicular Self-Exam in the Shower – English | Spanish