San Radiology & Nuclear Medicine

Request an Appointment

Request an appointment by completing our online form

Please note this is an appointment request and our staff will be in contact to confirm your booking.
If you are requesting an appointment within 24 hours please contact us by phone on (02) 9480 9850 to ensure we can accommodate your request.

PLEASE ENTER YOUR DETAILS *

First name is a required field!

First name as per referral *

Surname is a required field!

Surname as per referral *

Date of birth is a required field!

Date of birth *

You must type a valid phone number!

Contact number *

You must type a valid email address!

Email address *

Is this appointment subject to a Workers Compensation or Third Party Claim? *

This is a required field!

No Yes

PREFERRED DATE & TIME OF APPOINTMENT *

Select the best date and time for your appointment. For appointments within the next 24 hours please call our bookings team on (02) 9480 9840.

Preferred Appointment Date *

Please select a date!

Preferred Appointment Time *

Please select a time!

UPLOAD REQUEST / REFERRAL FORM *

To ensure the correct examination is booked please upload your referral by clicking on the button below. Please upload all relevant documents if you have more than one form.

Please select your documents!

Documents to upload

Accepted files types: pdf, jpeg, jpg, png. Maximum file size: 10MB.

CONSENT *

You must accept our policy!

I consent to my data being collected and stored as per AHCL’s privacy policy.

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Request an Appointment