Referral Request

I would like to…

To order more referrals please complete the form below and our staff will have them sent to you.

At Canberra Specialist Ultrasound we understand that every appointment is unique. For this reason we take into account your needs and the needs of your patient when booking appointments.

Based on the information provided below, a member of our staff will contact your patient to confirm the most appropriate appointment time.

Patient's Details

Referrer's Details


5/3 Sydney Avenue
Barton ACT 2600

Contact Details

(02) 6210 5600
(02) 6210 5601


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