Request Appointment

Initiate appointment booking for your Radiology Examination

Use this form to initiate the appointment booking process 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 date and time and all preparation advice for your examination. Our customer service team will be in contact with you to complete your booking within one business day.


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.

Region *
Form completed by
Does patient have any Flu symptons? *
Any symptons such as fever, cough, sore throat or shortness of breath, or have been in a Covid Hot Spot 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.
A copy of this request will be sent to this email address after you hit submit
Please include area code

Type of examination

No exam *
(Doctor or Practitioner asking you to have this examination)
Request Detail or Clinical History if not emailing referral form (email address to send referral to will be sent to you)



North Coast Radiology (Byron Bay, Ballina, Casino, Goonellabah & Lismore)

Ph: 1300 669 729 (8:30am – 5pm)  Fax: (02) 6622 2691


Clarence Valley Imaging (Grafton / Maclean)

Ph: (02) 6604 2400   Fax: (02) 6643 2306


Chatswood Radiology

13 Spring Street, Chatswood NSW 2067

Ph: (02) 8423 2700   Fax: (02) 9410 0244


Ryde Radiology

Suite 1, Level 1A, 1 Pope Street (above Ryde Library)

Ryde NSW 2112 Australia

Ph: (02) 9813 2500   Fax: (02) 9809 2890

Once we receive your request, we will contact you to finalise the appointment booking and advise you of any special preparation requirements.

All branches are closed all NSW public holidays including Easter Saturday, Anzac day, Queens Birthday, Labour day, Xmas Day, Boxing Day and New Years Day.

We accept all radiology referral forms.