Request an Appointment

Distinguished medical imaging service with no out of pocket expenses for you

*Where Medicare is applicable

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Your Details

Title*

Name*

First Last

Date of Birth*

Contact Phone Number*

Email*

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Your email is only used for appointment confirmation
‘New appointment’ requests will be responded to with a phone call.

Your Referral

If you are unable to upload your referral, please call your preferred clinic. Contact numbers can be found on the Contact Us

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Your Procedure

Procedure required*

Preferred time

Do you have a current Pension or Government Health Care Card?*

Yes

Do you have a current DVA card?*

Yes

Are you claiming Motor vehicle Accident or Workers Compensation?*

Yes

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THE NEXT STEP

Please ensure that you have your Medicare card and referral with you and pop into our radiology clinic for your X-ray. If you have any questions at all please feel free to contact us, as we are here to help.