Radiology Queensland: Online Appointment Request

Appointment Request

REQUEST YOUR APPOINTMENT

Your convenience is our priority, and we’re committed to making the booking process fast and straightforward.

If you have questions about your appointment, don’t worry—our team is ready to help and will ensure you receive the care you need. Below, you’ll find key details and answers to common concerns to help you get started.

Please remember: Submitting this form is a request, not a confirmed booking. A member of our team will reach out soon to finalize your appointment. If you need immediate help, don’t hesitate to call us.

First Name

Last Name

Date of Birth (DD/MM/YYYY)

Gender

Service

Practice

Date - first preference (DD/MM/YYYY)

Time - first preference

Date - second preference (DD/MM/YYYY)

Time - second preference

Phone number

Email address

Is your appointment related to a workplace injury?

Yes No

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 form, I acknowledge that I will need to reschedule if I have flu-like symptoms on the day of my appointment.

Appointment Request

REQUEST YOUR APPOINTMENT

Kogarah

Wollongong

Rockdale