PDF Referrals

Simply download the desired fillable PDF referral form below, and use our Secure Telehealth Referral Upload form to submit your referral to our Bookings Centre. Our bookings agents will contact your patient to make their appointment.

South Coast Radiology Doctor standing in front of a modality. PDF Referral

PDF Referrals

Please download the fillable PDF referral from the options below. Please note:

  • As per recent updates from the Department of Health, referrer signatures are now NOT required
  • Be sure to include sufficient patient information, including patient contact phone number
  • Submit your patients referral using our Upload portal found on this page, or email your request to bookings@scr.com.au
  • Our bookings agents will contact your patient to make the appointment, this is why including their contact phone number is important
  • For PET-CT Referral Forms at South Coast Radiology, click here!

To view the Telehealth and Online Referrals User Guide, click here:

Click Below for Your Local Referral Forms

  • Secure Telehealth Referral Upload

  • Drop files here or
    Max. file size: 25 MB.