Upload Referrals
Upload Referrals

Appointment

  • Date Format: MM slash DD slash YYYY
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Notes:

Please Bring Your Referral form to your appointment.

All Referrals Accepted- that is if your doctor gives you a referral for another x-ray provider and you would like to come to us instead we will accept your referral.

Privacy Policy:
  • It will not be disclosed to those not associated with your treatment, without your express consent.
  • You may seek access to the information held about you and we will provide this access without undue delay. This access might be by inspection of your medical records at the time of appointment or by special access or copying of information at other times.
  • There will be no charge made for requesting this information but there may be fees levied just to cover the costs associated with the processing of this request or the copying of information.
  • We will take reasonable steps to ensure at all times that the details we keep about you are accurate, complete and up to date.
  • We will take reasonable steps to protect this information from misuse or loss and from unauthorized access, modification or disclosure.
Notes:

Please Bring Your Referral form to your appointment.

All Referrals Accepted- that is if your doctor gives you a referral for another x-ray provider and you would like to come to us instead we will accept your referral.

Your imaging or procedural report from our Specialist Doctors will be sent to your referring doctor or other health professional & at maybe involved with your care.