Appointment request form Please upload your patient's referral here. Our friendly customer service team will contact your patient shortly to confirm their booking time, details and preparation information if required. Patient details as per referral*First name*Last name*Mobile* Choose a service* * Tick multiple boxes to select more than one service. X‑ray ILO Chest X-ray Ultrasound CT MRI PET-CT PET only Nuclear Medicine Dental Imaging & OPG Cone Beam CT Bone Mineral Densitometry DEXA Body Composition Scan Interventional Radiology EOS Spinal & Body Imaging Mammography Choose location* * Please select a location Brisbane (QLD) Gold Coast (QLD) Sunshine Coast (QLD) Mackay (QLD) Hobart (TAS) Perth (WA) Canberra (ACT) Sydney (NSW) Tweed (NSW) Choose a clinic* * - Select - Qscan Annerley Qscan Aspley Qscan Braddon Qscan Burleigh Waters Qscan Carindale Qscan Chatswood Qscan Clayfield Qscan Cleveland Qscan Everton Park Qscan Gungahlin Qscan Hobart (PET-CT) Qscan Hope Island Qscan Kingston Qscan Mackay Qscan Macquarie Qscan Maroochydore Qscan Mater Hill Qscan Meadowbrook Qscan Mermaid Waters Qscan Midland Qscan Nerang Qscan Newstead Qscan North Canberra Hospital Qscan North Hobart Qscan North Lakes (PET-CT) Qscan North West Private Hospital Qscan Parkwood Qscan Red Hill Qscan Redcliffe Qscan Robina Qscan Rockingham Qscan Ryde Qscan Southport Qscan Surfers Paradise Qscan Toowong Qscan Tweed City Qscan University of Canberra (PET-CT) Qscan Upper Coomera Qscan Victoria Point Qscan Westmead Qscan Windsor Referral upload To ensure we have all the correct information, please upload your referral by clicking on the button below. Please note: you are required to upload all relevant documents if you have more than one referral. Unlimited number of files can be uploaded to this field. 20 MB limit. Allowed types: gif, jpg, jpeg, png, pdf, doc, docx. Leave this field blank
