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South East Radiology

Request an MRI Appointment | Request an Appointment | Nowra (02) 4422 1500
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Home / Request an MRI Appointment

Request an MRI Appointment

Request an MRI Appointment

On submitting this form please be advised that one of our dedicated MRI receptionists will be in contact with you to arrange a date and time for your examination.

It is important that you answer these questions accurately as it directly relates to your safety.

If you are unsure on any of these questions they will be clarified upon booking.

Your information is sent directly and securely to South East Radiology. We take confidentiality very seriously and it is important to note that your information is entered into our patient information system. This form is not stored.

  • DD slash MM slash YYYY
  • This information relates to your scan
  • Examination Information

    There are important safety considerations in relation to an MRI scan. Please complete the following:
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • :
  • Please Note: If you have access to a scanner, please scan and upload your referral form. If you have a mobile device with a camera such as an iPhone if you can take a valid photo you could also upload this and send it to us.
    Max. file size: 128 MB.

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Doctor Services

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Contact Us

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Patient Services

  • – Breast Core Biopsy
  • – Digital X-Ray
  • – Image Guided Biopsy
  • – Joint Injections
  • – Low Dose CT
  • – Magnetic Resonance Imaging (MRI)

Patient Services

  • – Myocardial Perfusion Scan
  • – Nuclear Medicine
  • – Nuclear Medicine Bone Scan
  • – Pet CT
  • – Transvaginal Ultrasound
  • – Ultrasound
  • – Upload a Referral

Contact Us

  • (02) 4422 1500
  • View the Contact page
  • Request MRI Appointment
  • Request an Appointment

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