Send a Referral


Options available for health professionals to send referrals to Perth Radiological Clinic.

CLINICALLY URGENT REQUESTS: please call 1300 567 046.

How you can get your referral to us

Which referral to use?

        1. You can use your usual practice software generated referral form
        2. Download our editable PDF standard referral form
        3. If you do not have access to a referral form, complete our online e-Referral
        4. A hand written (free text) request on plain or headed paper is acceptable

      Free text referrals will be accepted and 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)
          • referrer’s signature not required

      Please call ahead to 1300 567 046 on behalf of your patient if your request is clinically urgent.

      If you need assistance, please contact your Customer Relations Manager

      Complete online e-Referral or submit printed referral online