CT GUIDED
INTERVENTIONAL

THREE WAYS TO SUBMIT

FOR YOUR CONVENIENCE WE OFFER YOU THREE WAYS TO SUBMIT A REFERRAL 1: PRINT FORM. FILL IN AND GIVE TO PATIENT. 2: FILL IN FORM ONLINE AND EMAIL TO US AT INFO@MEDSCAN.COM.AU 3: DIRECT ELECTRONIC REFERRAL (COMING SOON)
Electronically fill in form below and email to us at info@medscan.com.au
Printable Referral: Print form below , fill in and email to us or give to patient
Direct electronic referral

coming soon
To order more referral pads, please email our friendly staff and we will deliver them to you as soon as possible.

INFO@MEDSCAN.COM.AU

Medscan uses the latest technology and software to ensure the lowest radiation dose possible.