Upload Referrals or Imaging Reports

Your Details

Add your details here exactly as they would appear in your clilent file. ie. Full name, email address and DOB



Your Doctor/GP Details


Upload Referral or Reports

A. Upload Referrals from Doctors or Specialists: (NB: To upload your referral we suggest taking a photo of each page or use a scanning app on your phone. You are able to upload multiple images at the one time. Please ensure that the image/s are legible)

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B. Upload any Imaging Reports: Upload here any reports for Xrays, MRI's and Ulrasounds etc.  (NB: To upload your imaging report/s we suggest taking a photo of each page or use a scanning app on your phone. You are able to upload multiple images at the one time. Please ensure that the image/s are legible)

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