Below are list of E-Referral PDF forms. They will allow you to create a referral and email it direct to us. Once received we will contact the patient to arrange an appointment.
Please save to your desktop and open in Acrobat or similar. Will not work in some browsers.
North Coast Radiology
General Imaging Request E-Form
MRI Multiparametric Prostate E-form
Clarence Valley Imaging
What does this mean for you and your patients?
- No more urgent calls to your practice requesting reprints of referrals as we would have received it electronically direct from your practice.
- Radiology referrals generated during a Telehealth consult can be emailed directly to North Coast Radiology and the patient.
- Hyperlinks to extra information for each modality, including up to date Medicare criteria and Imaging Pathways.
- Google maps links for each NCR branch.
- Patients will not have to initiate the booking process which will mean greater follow up and completion of requested investigations for clinical correlation.
- Less on hold wait time for both patients and referrers.
- Efficient, accurate booking and preparation process as NCR will have the information required, without relying on the patient to interpret medical terminology.
- Once the appointment has been initiated by our clerical staff, the patient will be sent a copy of the referral with the appointment date & time, branch details and any preparation.