Resources & Support

e-Referral

Your online e-referral options

FMIG offer e-referrals for clinics. Please contact your Medical Liaison Officer to be set-up for e-referrals.

Support

To facilitate the transition to e-referrals and ensure a smooth experience, practitioners are encouraged to reach out to Radiology Tasmania’s Medical Liaison Officer.

They can be contacted at the provided mobile number – 0429 016 671.

Additionally, practitioners can contact our team directly on 1300 722 632 or via email at ereferral@cdn.com.au to schedule a remote set-up session using TeamViewer.

Downloadable Referral Forms

General Radiology Request Form

Please use this form for all general radiology requests including X-Ray, Ultrasound, CT scan, Doppler, MRI, Mammograms, injections, procedures, etc.

General Radiology Request A5 Pad

Please use this form for all general radiology requests including X-Ray, Ultrasound, CT scan, Doppler, MRI, Mammograms, injections, procedures, etc.

Radiology Telehealth Referral Form

For an editable Telehealth referral form please.

Cardiac Consult & Imaging Request

Please use this form for referring for a Cardiac CT Angiogram, Calcium scoring, Echocardiogram, Nuclear MIBI Scan, Cardiac Perfusion Imaging, etc.

Cardiac MRI Request Form

Please use this form for referring for Cardiac MRI.

Dental Radiology Request Form

Please use this form for referral for OPG, TMJ, Cephalograms, CT Dentascans, etc.

MRI Patient Questionnaire in Kiswahili

This form contains the standard questions which are asked before an MRI scan in Kiswahili language.