Pleasanton Diagnostic Imaging Center Patient Referral

We value our relationships with our physician partners and want to make it simple to refer your patients to Pleasanton Diagnostic Imaging.

Authorization Assistance Information

To initiate an authorization, we will need:

  • Signed orders
  • Diagnosis with ICD-10 Code
  • Insurance policy information
  • Clinical notes and diagnoses

Download our outpatient requisition form (PDF).

We also accept electronically signed radiology orders generated by EHR/EMR software.


To streamline patient care, Pleasanton Diagnostic Imaging offers referring providers access to our downloadable McKesson picture archiving and communication system (PACS). This downloadable portal contains images and reports for all radiology studies completed at both Pleasanton Diagnostic Imaging and San Ramon Regional Medical Center.

Request secure login credentials.

Minimum system requirements apply.

PACS system requirements

Contact Us

For helpful referral guides or an informative PACS system demonstration, please contact:

Jackie Vargas
Physician Relations Manager
Pleasanton Diagnostic Imaging Center
5860 Owens Drive, Suite 150
Pleasanton, CA 94588
Office phone: 925-467-1400 ext. 6
Office fax: 925-467-1409