Xray

Imaging Referral – Order Online

€50.00

GP CONSULTATION, PRESCRIPTIONS AND MEDICAL CERTS, LETTERS AND SCANS ARE FOR REGISTERED PATIENTS ONLY

X-Ray, ultrasound, CT scan, MRI, DEXA scan or Mamogram Scan – Our Doctor can provide a referral to your chosen Imaging Centre

This online ordering is only available 9.30am – 5pm, Mon – Fri.

*Existing Patient
Are you an existing patient registered with South Beach Medical Centre ?

YES

NO
Patient Details - Child OR Adult
PLEASE ENTER THE DETAILS FOR THE CHILD OR ADULT BEING REFERRED
These details are so we can check the medical history.

Name

Address

Telephone

Date Of Birth

Area For Imaging
Enter area of body

Type Of Imaging
eg Mamogram, XRay etc.

Indications
What are your symptoms

Health Insurance Details
Please provide details if available

Pregnancy

Yes

No

Not Sure

Category: Scans Tags: Booking, Existing, Online, Patients, Prescriptions

Description

Description

Imaging – Order Online (Xray & Scans)

*** FOR EXISTING PATIENTS ONLY ***

X-Ray, ultrasound, CT scan, MRI, DEXA scan or Mamogram Scan – Our Doctor can provide a referral to your chosen Imaging Centre

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