Order Referral Pads

Practices

Pittwater Radiology

Northside Medical Imaging

Northwest Radiology

Ultrascan Radiology

Macquarie Street Radiology

Central Coast Radiology

National Capital Diagnostic Imaging

South West Nuclear Medicine

Type of Pads

General Referral Pad

Bone Mineral Density Referral

Chiropractor/Physiotherapist Referral

Dental Referral Pad

Vascular Referral Pad

MRI - Ultrascan ONLY

MRI - Referral Pad for GP's (North West Radiology ONLY)

Please note if the specific type of referral pad is not selected General Referral Pads will be sent.

Number of Pads    Size

Details

The sections with * next to them are compulsory to submit the form.

* First Name  
* Last Name  
* Address Line 1  
Address Line 2  
* Suburb  
* Postcode  
* Phone  
FAX  
* Provider No.  
* E-Mail  
 
I-Med network: Leading diagnostic imaging provider in NSW, providing best in class service in radiology. Our network of clinics in Sydney and regional NSW provide a wide range of services including, x-ray, ultrasound, CT scans, MRI, Doppler, Fluoroscopy, dental x-ray and more.