Book My Scan

Fast, Easy, No Waiting List

Fill in the referral form below. A member of our team will contact you within 12 hours.

We’ve made booking your private scan as smooth and efficient as possible. Whether you’re referred by a professional or booking for yourself, our team is here to support you every step of the way — from consultation to scan and report.

Submit Your Referral

Complete all fields in the form below. Incomplete forms may delay processing.

We’ll Contact You

Our team will get in touch within 12 hours to confirm your scan & consultation.

Rapid Scheduling

MRI & X-ray scans usually scheduled within 48–72 hours. CT scans may take 3–5 days.

Insurance Information

Have Medicash, Health Shield or other private cover? We’ll issue a receipted invoice to help you claim through your provider.

Personal Details

First Name *

Last Name *

Date of Birth *

Address

Street Address *

Postcode *

City *

Contact Details

Email *

Phone Number *

Medical Details

GP and Surgery Name *

What scan do you require? *

Please provide your clinical history and symptoms in full mentioning the reason for requesting a scan. This is to ensure an accurate imaging protocol is applied by our Consultants. *

When are you available to attend your scan? *

if you have any previous Imaging reports or a referral pertaining to the scan you are requesting, please upload below.

No Choosen File

(Max 50 MB)