Doctors, dentists, chiropractors and other health professionals who wish to refer to Radiology SA can download and print out the appropriate request form from the list below.
All of the forms are in the Adobe PDF format, and can be viewed with the free Acrobat Reader software available from Adobe.
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144.60 KB
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Radiology SA_General Image referral A4_ November2025
Download
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121.33 KB
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Radiology SA_eReferral Gentu A4_ November2025
Download
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115.25 KB
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Radiology SA_ Imaging Referral A5_ November2025
Download
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46.49 KB
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Radiology SA_ PET Scan Referral_ A4_ November2025
Download
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56.90 KB
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Radiology SA_Chiropractic Referral A5_November2025
Download
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145.59 KB
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Radiology SA_ Lung Cancer Screening Program (NLCSP) Referral_November2025
Download