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

A5 personalised referral pads

A5 non-personalised referral pads

A4 Medical Director referral pads

A4 non-specific referral pads (also for Genie/Med Tech 32 systems)

A4 referral pads (for hand-written referrals)

Number of Pads

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.