Referral Pad

All request forms must be signed and dated by the referring clinician. If you urgently require a patient to have a scan at Clayray, simply click on the following link to download a referral form, fill it out and fax it to us at 03 9650 1153. To assist us in providing you with better service, please include any relevant patient history and clinical details. To order more referral pads simply ring the practice and we will have some delivered immediately.