PRP Offers Online eReferrals

Quick and easy – simply complete and submit the form below.

You will receive a copy of your patients’ imaging request for your records.

No appointment necessary for X-ray and OPG. PRP will contact your patient to organise a suitable time for all other appointments.

This form is for Referrers only. Patients can request an appointment here.

Alternatively, to upload an imaging request form on behalf of your patient, please visit our Imaging Request Form Upload page.