Clearview Medical Imaging: Online Appointment Request

Appointment Request

As a patient-focused practice we aim to make booking easy and fast

Complete the form below with your preferred appointment dates and times, and our Booking Team will do their best to accommodate your request. We’ll then contact you to confirm your appointment, ensure you’ve selected the correct examination, and provide any preparation instructions that may be required.

Please note: This is an appointment request only and does not guarantee a confirmed appointment time.

Our Booking Team will contact you to discuss your request and confirm a suitable appointment. If you’d prefer to speak with someone straight away, please call us on (02) 8319 4863.

First Name

Last Name

Date of Birth (DD/MM/YYYY)

Gender

Is your appointment related to a workplace injury?

Yes No

Service

Practice

Date - first preference (DD/MM/YYYY)

Time - first preference

Date - second preference (DD/MM/YYYY)

Time - second preference

Phone number

Email address

Copy of referral #1 (Scan or take a photo of your referral and upload it here)

Copy of referral #2 (Scan or take a photo of your referral and upload it here)

Other information

By submitting this request, I understand that if I have flu-like symptoms on the day of my appointment, I will be required to reschedule.

My Health Record Notice: From 1 July 2026, pathology and diagnostic imaging providers are generally required to upload results to My Health Record by default. Please note: Our practice has been granted an extension to implement this requirement. During this time, your diagnostic imaging reports and results will not be uploaded to My Health Record. If you have any questions, please speak with a member of our team.

Patients

Appointment Request

As a patient-focused practice we aim to make booking easy and fast