Telehealth Referrals


Referrers who conduct telehealth consultations can submit referrals on behalf patients through the below process.

What is needed?

To complete your Lumus Imaging Telehealth request, please download the form below.

Download Telehealth Referral


When filling out a request, the following information is required:

  • Patient information including date of birth and contact phone number
  • Examination requested and clinical history
  • Name of person making the request including
  • Provider number and practice details date of request

Please ensure you make a record in the patient's file that the referral has been sent.


Once completed, attach and send the referral electronically by email to your state or territory.

The patient will then be phoned by one of our staff and we will arrange the best available appointment and location.

The radiologist report and digital images will be delivered via your preferred nominated method and images will be available via InteleConnect or InteleViewer.

Lumus Imaging reaches 150 locations Australia wide, home of specialist knowledge, delivered with care.

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