ALL REFERRALS ACCEPTED

Request an appointment

Once we receive your appointment request, one of our team here at The X-ray Group will call to confirm the date and time of your appointment, along with confirmation of your personal details.

"*" indicates required fields

Your details

Name*

Email*

Phone*

Suburb/Town

Gender*

Date of Birth*

Medicare number

Concession Card number (if applicable)

Referral details

Referring Doctor*

Select the type of examination*

Preferred location*

Preferred appointment date

Preferred time period

Additional clinical information indicated on your referral

Referral Upload

Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 25 MB, Max. files: 5.

Please ensure you capture the entire Referral form

CAPTCHA

ALL REFERRALS ACCEPTED

Request an appointment

Your details

Referral details

Need assistance? Please call our team on (02) 6051 1660

Locations

Services

About