Locations
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Chatswood Ryde Radiology
Sydney – Chatswood
Sydney – Ryde
Clarence Valley Imaging
Grafton
Maclean
North Coast Radiology
Ballina
Byron Bay
Casino
Goonellabah
Northern Rivers Women’s Imaging (Lismore)
Nuclear Medicine (Lismore)
St Vincents Private Hospital
Qscan (Qld)
Services
All Services & Locations
Bone Density (BMD)
DXA Body Composition
CT Scan
Dental Imaging
Interventions and Procedures
MRI
Mammography
Nuclear Medicine
Ultrasound
X-Rays
Patients
Support Centre
Appointment Bookings
Request Appointment
Change or Cancel Appointment
Patient Information Sheets
Understanding the Appointment Process
Patient FAQ
Billing & Payments
Medicare Information
Copies of Examinations
Patient Privacy
Zed – online access to images
Referrers
Online access to Results & Images (InteleConnect)
Online access to Results & Images (Zed)
Referral Forms
E-Referrals
Diagnostic Imaging Pathways
Update/New Referrer or Practice Information
Software Downloads
Request or grant access to an examination
Medicare Guidelines
for Doctors
for Allied
About Us
Company Information
Our Radiologists
Careers
News
Contact Us
Contact Us
Compliments Suggestions Complaints
Patient Survey
Referrer Survey
Request Appointment
Change or Cancel Appointment
Careers
Locations
All Branches
Chatswood Ryde Radiology
Sydney – Chatswood
Sydney – Ryde
Clarence Valley Imaging
Grafton
Maclean
North Coast Radiology
Ballina
Byron Bay
Casino
Goonellabah
Northern Rivers Women’s Imaging (Lismore)
Nuclear Medicine (Lismore)
St Vincents Private Hospital
Qscan (Qld)
Services
All Services & Locations
Bone Density (BMD)
DXA Body Composition
CT Scan
Dental Imaging
Interventions and Procedures
MRI
Mammography
Nuclear Medicine
Ultrasound
X-Rays
Patients
Support Centre
Appointment Bookings
Request Appointment
Change or Cancel Appointment
Patient Information Sheets
Understanding the Appointment Process
Patient FAQ
Billing & Payments
Medicare Information
Copies of Examinations
Patient Privacy
Zed – online access to images
Referrers
Online access to Results & Images (InteleConnect)
Online access to Results & Images (Zed)
Referral Forms
E-Referrals
Diagnostic Imaging Pathways
Update/New Referrer or Practice Information
Software Downloads
Request or grant access to an examination
Medicare Guidelines
for Doctors
for Allied
About Us
Company Information
Our Radiologists
Careers
News
Contact Us
Contact Us
Compliments Suggestions Complaints
Patient Survey
Referrer Survey
Request Appointment
Change or Cancel Appointment
Careers
E-Referral Allied
E-Referral Allied Form
Referrer
*
Chiropractor
Osteopath
Physiotherapist
Podiatrist
Patient Details
Patient Name
*
Date Of Birth
*
DD/MM/YYYY
Phone Number
*
Gender
*
Female
Male
Other
Patient Email Address
Booking Appointment
Radiology practice will call patient to arrange appointment
Patient will initiate appointment
Allied health practitioners cannot refer more than one of the following spinal services on the same day.
Item 58100
C.Spine O.M.
C.Spine A.P.
C.Spine obliques
C.Spine flexion & extension C.Spine lateral & neutral
Item 58103
T.Spine lateral
T.Spine A.P.
Item 58106
L.Spine A.P. (inc pelvis)
LSpine lateral
L.Spine spot lateral
L.Spine oblique
Other
Hips - 57712
Pelvis - 57715
Sacrococcygeal Spine - 58109
2 Region Spine - 58112
Hips
Left
Right
We are able to accept requests for other radiological imaging examinations, where the Radiologist determines that “the service is clinically relevant for the treatment of the patient’s condition”. Importantly though, these examinations may not attract a Medicare rebate for the patient.
Additional Views
Please include Modality such as Xray or Ultrasound
Unlimited Referrals - no time restriction
Hips - 57712
Pelvis - 57715
Cervical Spine - 58100
Thoracic Spine - 58103 Lumbar Spine - 58106
Sacrococcygeal Spine - 58109 2 Region Spine - 58112
Hips side
Left
Right
Allied health practitioners cannot refer more than one of the above spinal services on the same day.
Limited Referrals - only one of the following xrays can be performed per calendar year
3 region spine - 58120
Full Spine - 58121
Examination details
Please include Modality such as Xray or Ultrasound
Examination
X-ray feet, ankles, lower & upper legs, knees, femurs, heels - 57521
X-ray feet/ankles, knees/femurs, ankles/legs, legs/knees - 57527
Ultrasound ankle or hind foot - 55836
Ultrasound mid foot or fore foot - 55840
Ultrasound cutaneous/subcutaneous mass - 55844
Body part
Foot
Fore foot
Mid foot
Hind foot
Heel
Ankle
Lower leg
Knee
Upper leg
Side
N/A
Left
Right
Both
We are able to accept requests for other radiological imaging examinations, where the Radiologist determines that “the service is clinically relevant for the treatment of the patient’s condition”. Importantly though, these examinations may not attract a Medicare rebate for the patient.
Examination details
Please include Modality such as Xray or Ultrasound
Clinical History
Clinical details
*
Referring Practitioner
Referrer Name
*
Practice Email
*
PACS User or RIS ID
*
(Used to login to InteleViewer or Inteleconnect)
Provider Number
*
Practice Address
Copies to another referrer?
Yes
No
Copy to:
*
I am entitled under the Health Insurance Act 1973 (Cth) to make this request
Branch
*
Ballina
Byron
Casino
Chatswood
Goonellabah
Grafton
Maclean
Ryde
StVincents
Please select a branch. Appointment might be at another branch. No CT at Goonellabah or Maclean
Branches
North Coast Radiology
Casino
Goonellabah (No CT)
St Vincents Lismore
Clarence Valley Imaging
Grafton
Maclean (No CT)
Qscan Sydney
Qscan Chatswood
Qscan Ryde
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