Appointment Request

    Choose a Service *

    Preferred Date of Appointment *

    Preferred Time of Appointment *

    Preferred Time of Contact *

    Personal Information

    Full Name *

    Date of Birth *

    Contact Number *

    Email Address *

    Referral Upload *

    Accepted file types: pdf, jpg, png, jpeg, bmp, docx, doc.

    Additional Information (Optional)

    Please note your appointment is not confirmed until you have been contacted by Metro Radiology.
    Some examinations require specific preparations to follow and this may impact on preferred appointment times.