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For Referrers

Referrer resources

Everything you need to refer to Benchmark Radiology — forms, our services and Medicare information, image access and our interventional service.

Forms

Referral forms & pads

Order pads, download our fillable referral form, or submit an online referral. Online submissions are logged securely with a date and time stamp for your records.

Order referral pads

Editable PDF referral form

Download, complete and send us our fillable referral form. The fillable form will be added here shortly.

Completed forms can be returned to us securely; each submission is logged with a date and time stamp.

Online referral

Please confirm the attestation to submit.
For referrers

Our services & Medicare information

The range of imaging we provide, with a plain-language guide to Medicare eligibility. MRI and breast imaging details sit behind the toggles below.

MRI — information for referrers
Mammography & breast imaging — information for referrers

Medicare eligibility

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Access images & reports

View and download your patients’ images and reports through the secure referrer portal.

For referrers

Interventional radiology & pain management

Image-guided procedures performed under ultrasound or CT guidance by our radiologists. All interventional procedures are by appointment.

    For referrers

    Become a referrer

    New to Benchmark Radiology? Register your details so we can set you up for reporting, image access and referral pads. Your submission is logged securely with a date and time stamp. Fields marked * are required; the rest are optional.

    Practitioner

    Practice location

    Provider number & report delivery

    Your Medicare provider number is specific to you at this location. Add a second location later by submitting this form again.

    Please confirm the attestation to submit.