Radiology Referrals

Radiology referral form to be completed by a GP or clinician. If you would like to self-refer, please contact us directly.


In order to refer a client to Healthshare, we first require information from you. Please fill in the form below in its entirety.
Alternatively, you can download the form and to by email to
Click here to download.

Referral form

Has the patient any of the following?
* These are absolute contradiction to MRI
Possibility of pregnancy?