Radiology Queensland: Online Appointment Request

Appointment Request

ONLINE BOOKING REQUEST

If you would like to request an appointment you can do so here.

Please note this is a request only and will not reserve an appointment time.

Our Booking Team will be in touch to discuss your request and confirm an appointment time for you. If you’d like to speak to someone straight away, feel free to call us… We look forward to seeing you soon!

First Name

Last Name

Date of Birth (DD/MM/YYYY)

Gender

Service

Practice - first preference

Practice - second preference

Date - first preference (DD/MM/YYYY)

Time - first preference

Date - second preference (DD/MM/YYYY)

Time - second preference

Phone number

Email address

Copy of referral #1 (Scan or take a photo of your referral and upload it here)

Copy of referral #2 (Scan or take a photo of your referral and upload it here)

Other information

By submitting this request, I acknowledge that should I have flu-like symptoms on the day of my appointment I will need to reschedule.

Appointment Request

ONLINE BOOKING REQUEST

If you would like to request an appointment you can do so here.

Please note this is a request only and will not reserve an appointment time.

First Name

Last Name

Date of Birth (DD/MM/YYYY)

Gender

Service

Practice - first preference

Practice - second preference

Date - first preference (DD/MM/YYYY)

Time - first preference

Date - second preference (DD/MM/YYYY)

Time - second preference

Phone number

Email address

Copy of referral #1 (Scan or take a photo of your referral and upload it here)

Copy of referral #2 (Scan or take a photo of your referral and upload it here)

Other information

By submitting this request, I acknowledge that should I have flu-like symptoms on the day of my appointment I will need to reschedule.

Radiology Queensland Group

Appointment Request

ONLINE BOOKING REQUEST

Appointment Request

ONLINE BOOKING REQUEST

Chapel Hill

Inala

Oxley

Sunnybank

Underwood