Before sending your patient

Please complete the applicable fields clearly so the practice can prepare for the requested examination.

1. 01 Select the examinationIndicate the imaging type, preferred branch, date and time where applicable.
2. 02 Add patient and clinical detailsInclude the patient’s name, medical-aid information, relevant clinical particulars and ICD-10 code.
3. 03 Specify the examination requiredProvide a clear clinical request and any additional information needed by the radiology team.
4. 04 Authorise the referralAdd the referring practitioner’s practice number and signature before giving the note to the patient.