Make a Booking Enquiry

Please complete the form below to make a booking enquiry.

When we receive your enquiry, we’ll call you to confirm the date and time of your appointment.

We will also check your personal details and answer any questions you may have.

"*" indicates required fields

Referral Upload*

Drop files here or

Accepted file types: jpg, png, pdf, jpeg, Max. file size: 25 MB, Max. files: 5.

Please ensure you capture the entire Referral form

Preferred appointment date*

Preferred time period*

Referring Doctor*

Select the type of examination*

Preferred location for your General X-Ray*

Preferred location for your Ultrasound*

Preferred location for your CT Scan*

Preferred location for your MRI*

Preferred location for your Bone Density*

Preferred location for your Cardiac CT*

Preferred location for your Dental Imaging*

Preferred location for your Echocardiography*

Preferred location for your Interventional Procedure*

Preferred location for your Mammography*

Preferred location for your Nuclear Medicine*

Preferred location for your PET/CT Scan*

Other type of scan

Additional clinical information indicated on your referral

Name*

Email*

Phone*

Suburb/Town

Gender*

Date of Birth*

Medicare number*

Concession Card number (if applicable)

CAPTCHA

Excellence in Diagnostics