Lakes Radiology

Request Referral Forms

Request Referral Forms

Referral forms can be ordered online by completing the form to the right, or by contacting the office on 02 4973 3732. Please select if you would like A5 personalised or A4 computerised forms.

You can also and print the form here in A4 size and A5 size.

eReferrals are now available for use with both Best Practice and Medical Director software. This means that when you request imaging procedures they will be sent directly to us.

An eReferral is now a legitimate legislated copy of the referral form. It is not necessary to give the patient the request form. It is no longer necessary to fax or email the request form to us.

If you would like eReferral set-up please complete the form to the right and tick eReferral setup in either Best Practice or Medical Director.