Get Bridge Road Imaging

This guide provides clear and supportive instructions for users on completing the Bridge Road Imaging form online. By following these steps, you can ensure that all necessary information is accurately submitted for your imaging request.

Follow the steps to complete your imaging request form accurately.

1. Click the ‘Get Form’ button to access the form and begin filling it out.
2. Enter the patient code or U.R. number in the designated field to identify the patient uniquely.
3. Fill in the patient's name, date of birth, address, postcode, and both home and mobile telephone numbers in the required sections.
4. Indicate if the patient has a Medicare card or concession card by checking the relevant box.
5. Provide any clinical notes that may be relevant to the imaging request to assist the medical professionals.
6. Specify the type of EOS 2D/3D X-ray request by selecting the appropriate option(s) listed.
7. Complete the referrer details, including provider number, referrer name, specialty, address, and signature.
8. Finally, review the form for completeness and accuracy before using the options available to save changes, download, print, or share the form.

Complete your Bridge Road Imaging form online to ensure a smooth imaging experience.