Contact us online Enquiry TypeProvide feedbackGeneral enquiryService information/priceProvide a referralTitle*MrMrsMissMsDrProfFirst Name* Last Name* Date of Birth:*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Email Address* Enter Email Confirm Email Phone NumberPhone Number*We appreciate your time in providing feedback on your experience with Perth Radiological Clinic. To assist us with addressing your feedback please complete the following information:Appointment location*Select a locationArmadale HospitalBentley HospitalBethesda HospitalBooragoonGosnellsHollywood Consulting CentreHollywood Medical Centre (PET)InnalooJoondalupJoondalup Health CampusKalamunda HospitalMidlandMidland Public HospitalMorleyMount Medical CentreMurdochNollamaraRockinghamSouth Perth HospitalSubiacoProcedure required*Select a ProcedureCTMRINuclear MedicineUltrasoundX-raysOther BookingsPreferred location*Select a locationArmadale HospitalBentley HospitalBethesda HospitalBooragoonGosnellsHollywood Consulting CentreHollywood Medical Centre (PET)InnalooJoondalupJoondalup Health CampusKalamunda HospitalMidlandMidland Public HospitalMorleyMount Medical CentreMurdochNollamaraRockinghamSouth Perth HospitalSubiacoUpload referral form*Accepted file types: jpg, pdf, png, Max. file size: 2 MB.To assist us in making your appointment please upload your referral form. Only jpg, pdf or png files allowed. If you are unable to upload your referral, please call your preferred clinic. Contact numbers can be found under the 'Locations' tab.CommentsEmailThis field is for validation purposes and should be left unchanged. Please call 1300 567 046 to make an appointment if your request is clinically urgent. Call us