Online Referrals

Medical professionals can refer their patients via our secure and confidential referral form below. Please complete all fields as this will enable us to provide a more efficient service.

Note: This online referral form works best on Google Chrome or Mozilla Firefox.  If using Internet Explorer, the date of birth field may not go through, please enter in the Clinical Details field instead.  Thank you.

COVID-19 Update:  CAMRI continues to operate through RED and under all Traffic Light settings. 

To ensure appropriate appointment dates are offered to your patients, please provide a timeframe e.g. urgent within 48 hours, within 1 week, 2 weeks, or surveillance, as appropriate.  

We will be guided by your clinical judgement on the urgency of the MRI scans.  You may be contacted if further clarification is required.  Thank you, the CAMRI team.

Update 16/2/22 - CAMRI is excited to be upgrading its 3T MRI Machine at the University site from Monday 14th March 2022.  We anticipate the newly upgraded 3T to be fully operational from Tuesday 26th April 2022 (After Anzac Day observed on Monday). 

Urgent/time sensitive scans may be possible from early April depending on installation progress - please do not hesitate to get in touch with us on 09 303 5966 (8.30am-4.30pm weekdays) or 

Patient Details

Examination requested

Clinical details


Referring doctor

Copy To


Please ask the patient to bring all relevant x-rays and scans with them to their MRI appointment.

Your use of our online referral form denotes your agreement to conform with the requirements of the CAMRI Privacy Policy .

By submitting this form, I declare that the information is true and correct

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.