Person on laptop using an editable referral

Editable PDF referrals

We have a number of editable PDF referrals for you to save to your desktop for quick and easy image requests. These PDFs may also be useful when you are away from your practice management software or internet connection.

Editable PDF referrals

Standard image request

Generic I-MED Radiology editable image request

Specialist MRI image request

I-MED Radiology editable specialist MRI image request form

Victorian dental referral

I-MED A5 editable dental referral

Nuclear cardiology

As part of the MBS review of cardiac imaging services, new myocardial perfusion imaging (MPI) items and descriptions were introduced on 1st August, 2020.

To assist practitioners, we have developed a myocardial perfusion image request.

PET/CT image request

I-MED Radiology PET/CT editable image request

Victoria House A4

Victoria House A4 editable image request

Victoria House A5

Victoria House A5 editable image request

SO+GI Scan (Brisbane) NIPT Referral

Editable NIPT referral form