Referral Pads

Need a new referral pad?

You can either download them electronically, or complete the form below.

Telehealth Fillable Forms

GPs, Specialists & Allied Health Professionals will be able to bulk-bill phone or have video consultations with patients as of 30 March in a bid to help contain the rapid spread of coronavirus.

At Queensland X-Ray we are Telehealth ready! 

Find our telehealth referrers guide here

Editable forms for telehealth

Electronic Referrals

To print and fill out manually

Electronic Referrals

Editable PDFs that you can type into and print

Order Paper Referrals


Type your search in below

Download information pack as a PDF