Book Now
Login to InteleConnect
09 520 9550
Services
Breast Imaging
Computed Tomography (CT)
DEXA Bone Mineral Densitometry
Fertility Imaging
Interventional Radiology
MRI
PET/CT
Ultrasound
X-ray
Locations
Ascot Hospital
Ascot Central
AUT Millennium
Green Lane Imaging
Highland Park
Mauranui Clinic (Ascot@Mauranui)
OneHealth, Remuera
Parnell
St Heliers
For Patients
Request an appointment
Payment Options
Terms and Conditions
Medical Professionals
View Results
Register for InteleViewer
Register as a New Referrer
Patient Information Downloads
PACS Support
Patient Referral form
Newsletters
2013 Clinical Education Seminar Series
Useful Links
About
Our People
Management Team
Work With Us
News
Contact
BOOK NOW
(09) 520 9550
Menu
Menu
Referring Doctor Registration
If you are new to Astra Radiology, please attempt to complete the form below.
Menu
View Results
Register for InteleViewer
Referring as a New Referrer
Patient Information Downloads
PACS Support
Patient Referral form
Newsletters
2013 Clinical Education Seminar Series
Useful Links
Medical Professionals
View Results
Register for InteleViewer
Referring as a New Referrer
Patient Information Downloads
PACS Support
Patient Referral form
Newsletters
2013 Clinical Education Seminar Series
Useful Links
Title
*
Dr
Mr
Mrs
Miss
First Name
*
Initials
*
Surname
*
Profession
Specialist
GP
Midwife Practice
Physiotherapist
Other
ACC Provider #
*
NZ Medical Council #
*
Email
*
Phone
*
Default Image Delivery
Patient
Referring Practice
As indicated on form
Default Report Delivery
Post
Email
Healthlink
Fax
As indicated on form
Practice 1
Address
*
Phone
*
Fax
*
Healthlink Mailbox:
*
Email
*
Practice 2
Address
*
Phone
*
Fax
*
Healthlink Mailbox:
*
Email
*
CAPTCHA
Scroll to top