e-Referral

Send a referral. Skip the fax.

Fill in the patient and clinical details below. The Border Radiology team books the patient within one business day, and the report reaches your clinical software (Healthlink, Argus or Medical Objects) once the radiologist signs it.

Your details (the referrer)

Referring doctor's name*

Practice / clinic*

Email*

Phone*

Provider number*

Patient details

Referral date*

Patient's full name*

Patient's date of birth*

Patient's phone (optional)

If supplied, reception can call the patient directly to book.

Patient's address (optional)

Clinical request

Examination(s) requested*

Modality*

Urgency*

Clinical question*

What are we looking for? Including history and any prior imaging speeds reporting.

Copy of report to (optional)

Another doctor or practice who should get the report.

Attachments (optional)Choose files or drop them here. Referral, prior reports or imaging. PDF, images, DICOM or ZIP. Up to 5 files, 25 MB each.

Referring doctor's signature*

Sign with your mouse, finger or stylus.

I confirm this referral request is genuine and I have the patient's consent to send their details. Border Radiology will treat all information in line with our privacy notice.

We confirm receipt by email with a reference number.

Looking for the referral pad order form? It has moved to Request referral pads.