Initiate appointment booking for your Radiology Examination

Use this form to initiate the appointment booking process at any of our branches for all non-medically urgent appointments. Please do NOT use this form if your matter is medically urgent.

Your appointment is only confirmed after we have spoken with you directly and given you an exact time and date and all preparation advice for your examination.

Location and Appointment Details

Please select the preferred branch for your examination. We will book your appointment at the next closest branch if your examination type is not available at requested branch.

Do you have any Flu symptons? *
If you have any symptons such as fever, cough, sore throat or shortness of breath, please tick Yes.
Click here for for first available date and time. Untick if you want a specific date, day of week or preferred time frame as set below. We cannot guarantee a specific date but will do our best.
Patient details

(A copy of this request will be sent to this email address after you hit submit)
(incl area code)
(Doctor or Practitioner asking you to have this examination)
Drop a file here or click to upload Choose File
Maximum upload size: 3MB
You can scan your referral or use your mobile device to take a photo. Please bring the original referral with you to your appointment.

Please use one form for each separate referral form. Once we receive yourrequest, we will contact you to finalise the appointment booking and advise you of any special preparation requirements.

North Coast Radiology Group (NCRG) incorporates North Coast Radiology, Clarence Valley Imaging and Chatswood and Ryde Radiology. We accept all radiology referral forms.