Referrer online images account application

This form is for health professionals only.

Complete this form to apply for an account to view images and reports online with Queensland X-Ray.
For all urgent set-ups please contact our Referrer Help Desk team on 1800 77 99 77.

1 Your details
2 Practice details
3 Confirm details

Your details

*Required field

First name

As per AHPRA/Medicare registration

Last name

As per AHPRA/Medicare registration

Date of birth

DD/MM/YYYY

Phone number - Landline

Verification

For security purposes and to verify your identity, we use your mobile number to send you a one-time code.

Enter your mobile number