Image Request Requests

To assist with your request for images please complete the following online form.

  • We require a tick in the signature section to provide authorisation for the transfer of the images.
  • We will endeavour to action requests within 24 hours.
  • Requests received after-hours will be actioned the following business day.
  • If a transfer is urgent, SCR PACS support can be contacted on or 07 5450 2950 to request a transfer be actioned with priority.

    Imaging Queensland online Image request form:
    Requested by:

    Date required:
    Contact Number:

    Signature: I certify I am the person listed above and the images being requested are for the ongoing treatment of the patient listed below.

    Email Address*
    Study Detail's to be sent:

    All studies for patient:
    (if no which studies?)
    Selected study or studies

    Study Description:

    Study date:

    Accession Number(if known)

    Image transfer requests only actioned between 8am and 5pm Monday-Friday.

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