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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 set-up e-referrals on your practice management software, please speak to your FMIG Medical Liaison Officer.

Alternatively, contact the team on 1300 722 632 or email ereferral@cdn.com.au to organise a time for us to set you up remotely 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.