Practitioners can refer patients using our online platform. Referrals can be:

  • Completed online (below)
  • Uploaded (also Below); or
  • Simply emailed to our Patient Booking Service (
  • We will contact the patient to make an appointment

Here are copies of our referrals in a PDF that can be filled in (or simply use the online form below):

Image and link to eReferral Image and link to the PET eReferral

Please use the below form to request imaging for your patient. Our bookings staff will contact the patient to arrange an appointment.

  • Patient Details

  • Referring Practitioner Details

  • Please enter as much details as possible.
  • Max. file size: 64 MB.
    Please attached a referral if you have one available
  • Signature