Telehealth

We are Telehealth ready for GP’s, Specialists and Allied Health Professionals to submit electronic referrals for imaging following a Telehealth consultation. We have flexible options for submitting e-referrals outlined below. If you require a fillable electronic referral it can be downloaded here. We continue to offer a comprehensive range of services through the COVID-19 situation, following all Government and Health Authority guidelines to ensure the safety and wellbeing of our communities.

Booking Form

Please fill in the online booking form below, upload the referral and we will contact your patient shortly.

Editable Referrals

[OR] Fill in an online referral form available here and send to us at bookings@advancedwomensimaging.com.au

Fax/Email

[OR] Fax your referral to (07) 5430 3998 or email a referral letter to bookings@advancedwomensiamging.com.au

    REFERRER'S ONLINE BOOKING

    Referrer Information
    Full Name:

    Practice Name:

    Email:

    Patient Information
    Full Name:

    Contact Number:

    For what scan?

    Comments

    Attach your referral form
    To ensure we have all the correct information, please upload your referral by clicking on the button below.

    [anr_nocaptcha g-recaptcha-response]