Referrer online images account application

This form is for referring practitioners 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. 1 Your details
  2. 2 Practice details
  3. 3 Confirm details

Your details

*Required field

As per AHPRA/Medicare registration
As per AHPRA/Medicare registration
DD/MM/YYYY

Verification

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