Request referral pads or
set up referral portal access
At Gippsland Lakes Medical Imaging, we work closely with local GPs, specialists and allied health
professionals to ensure seamless access to high-quality diagnostic imaging.

This form allows you to submit a booking request on behalf of your patient. Once received, our team will
contact the patient directly to arrange an appointment at the appropriate location.
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1. Request Printed Referral Pads
Use the form below to order GLMI referral pads for your practice.
2. Register for Online Referrer Portal Access
Access digital referrals, patient reports, and images online.
For all other referral-related enquiries, please contact our team to discuss anything further
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Request Referral Pads