Exact Radiology Clinics

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)

COVID-19 Patient Safety

Are you experiencing any flu-like symptoms?

Yes No

Are you under isolation or stay-at-home orders?

Yes No

Other information

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)

COVID-19 Patient Safety

Are you experiencing any flu-like symptoms?

Yes No

Are you under isolation or stay-at-home orders?

Yes No

Other information

Appointment Request

Exact Radiology Clinics

Appointment Request

ONLINE BOOKING REQUEST

COVID-19 Patient Safety

Appointment Request

ONLINE BOOKING REQUEST

COVID-19 Patient Safety

Chapel Hill

Gatton

Inala

Ipswich (North) Riverlink

Ipswich (South) USQ

Oxley

Plainland

Springfield Lakes

Sunnybank

Underwood