ref-dr

Suite 802/3, Level 8 (Cinema side), Rhodes Waterside Shopping Centre (3 Hour free Parking)

1 Rider Boulevard, Rhodes, NSW 2138 PH: 8765 8822 Fax: 8765 8766

http://www.rhodesmedicalimaging.com.au Email:info@rhodesmedicalimaging.com.au
Patient Details

Patient Name:

Sex:
DOB: Medicare Number:
Address:    
Mobile:
Home Phone:

Requested Tests

 Clinical Details:

Requesting Practitioner:
Dr. Copy to:
Address: Urgent
Phone:    
Provider Number:    

RMI Services:
• CT Scan-128 Slice ‘low dose’   • CT Cardiac Angiogram  • CT Dental/OPG
• Ultrasound (General, MSK, Doppler/Vascular)   • Obstetrics   • Mammogram 
•Digital X-Ray   • Bone Mineral Density   • Interventional Procedures

 

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