Send a Referral
Introduction
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
- Email to refer@perthradclinic.com.au
- Submit online
- Fax to 9286 0403
Which referral to use?
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- You can use your usual practice software generated referral form
- Download our editable PDF standard referral form
- If you do not have access to a referral form, complete our online e-Referral
- A hand written (free text) request on plain or headed paper is acceptable
Free text referrals will be accepted and must contain:
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- 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
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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
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