Request an appointment

To request an appointment at one of our Capital Radiology Victoria practices, please follow these steps:

Simply complete this form below, upload your Referral and submit.
One of our team members will call you as soon as possible to confirm your appointment date and time.
If you missed our call, please call us back.
Remember to bring your Referral to your appointment.

Please note: Completing the form below is not a confirmed appointment until you hear from us.

Alternatively, you can search for your preferred clinic and call directly to book an appointment now.

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First Name*

Last Name*

Email*

Contact number*

Upload a referral*

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Max. file size: 128 MB.

What service do you need?*

Select a clinic for your bone densitometry appointment*

Select a clinic for your CT appointment*

Select a clinic for your CT Calcium Score appointment*

Select a clinic for your CT Coronary Angiography (CTCA) appointment*

Select a clinic for your Dental Imaging (OPG) appointment*

Select a clinic for your Echocardiography appointment*

Select a clinic for your General X-Ray appointment*

Select a clinic for your Interventional Procedures appointment*

Select a clinic for your Lung Cancer Screening appointment*

Select a clinic for your MRI appointment*

Select a clinic for your Mammography appointment*

Select a clinic for your Nuclear Medicine appointment*

Select a clinic for your Ultrasound appointment*

What is your preferred appointment day?*

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How did you hear about us?

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