To provide the best service to our patients and to comply with regulatory requirements, we request your understanding and cooperation in the following areas:

1. The PET/CT referral form must be completely filled out . The completed referral forms should be faxed to +603 8947 2775

2. Consent will be required from each patient before they undergo PET/CT scanning.

3. Click the link below to download the form:

Copyright © 2011 Pusat Pengimejan Diagnostik Nuklear, Universiti Putra Malaysia, 43400 UPM Serdang, Selangor, Malaysia | Tel : 603-8947 1644 | Fax : 603-8947 2775