Priority Referrals, E-Requests & Telehealth Referrals

During this unprecedented period and to take the pressure off yourself and your staff regarding requests for radiology examinations, we have implemented a “Priority Referrals, E-Requests & Telehealth Referrals” system in which you can submit all imaging request forms with ease.  Once received, our friendly reception staff will contact your patient directly to make their appointment.

Please note until 30/9/20 signatures are not required on referrals and they will be accepted as valid.

1. If you do not have a referral form to hand please fill in the below form

Download and fill in the referral form below. Then you can either save it to your device and email to us as an attachment to or you can print out and use the methods below to send to us.

Download Referral form

2. If you have already completed your referral by hand or computer (signed or unsigned)

Please use one of the options below to send the referral to us and we will contact your patient for you to make the appointment.


Take a photo and SMS to us on 0402 280 352 and it will be forwarded immediately to our administration staff to follow up, this can also be done after hours if required.


You can fax directly to us on (08) 8256 9072 (Salisbury) or (08) 8296 7244 (Brighton)

If you have any queries regarding the above please contact Carmel Hodgson our Business Development & Marketing Manager on 0402 097 592.