How you can get your referral to us

• Email to refer@perthradclinic.com.au
• Fax to 9286 0403
• Upload your printed referral form

1. You can use your usual practice software generated referral form, a downloadable PRC referral form, or a hand written request on plain or headed paper.
2. Print it to a PDF printer/writer, document writer or take a photo of it and email it to us if you are unable to print it on paper.

OR

If you do not have access to a referral form, complete our referral web form here.

Free text referrals will be accepted but must contain:

• patient full name,
• DOB,
• address,
• mobile and email (so we can contact them),
• referrer name,
• provider number,
• practice name,
• practice address,
• investigation requested,
• clinical details,
• preferred method of contact (email or mobile so we can contact you if needed).
• No Signature required.

Please call ahead on behalf of your patient if your request is clinically urgent.

If you need assistance, please contact your Customer Relations Manager