For Referring Clinicians
Refer Online
Submit a referral for vascular imaging studies quickly and securely using our online referral form. Results are typically available within two business days.
1
Complete the Form
Fill in patient details and the imaging study required
2
We Receive It
Our team reviews the referral and contacts the patient
3
Patient Attends
The patient attends their appointment at our clinic
4
Results Delivered
A detailed report is sent to you within two business days
Online Referral
Submit a Referral
Please complete the form below to refer a patient for vascular imaging. All fields marked with an asterisk are required.
Nexus Vascular Imaging — Online Referral Form
If you experience any issues with the form, please call us on (03) 9961 6085 or fax your referral to (03) 9961 6086.
Alternative Referral Methods
Fax
Send referrals to
(03) 9961 6086
What to Include in Your Referral
- Patient name, date of birth, and contact details
- Medicare number and private health insurance details (if applicable)
- Clinical indication and reason for referral
- Specific imaging study requested (e.g., carotid duplex, venous mapping)
- Relevant clinical history and medications
- Urgency of the study (routine, semi-urgent, or urgent)
- Referring clinician details including provider number