SLBMC - Radiology Appointment Request

Radiology Appointment Requests

Welcome to SLBMC’s Radiology appointment requests portal!

Patients can now conveniently request appointments from the comfort of their homes, using mobile devices or any secure location with internet access and a web browser.

In addition, please ensure you meet or have the following criteria/documents for any appointments or relevant medical visits and let your physician know of any underlying and/or relevant conditions:

Patient’s full name and date of birth.
Valid photo ID - (Passport, Driver's License, National ID).
Health Coverage - Medical Benefits Scheme (MBS) card and/or private insurance card if applicable.
Referral Information - A relevant referral form or previous test results.
Early Arrival - Kindly arrive at least 15 minutes prior to your appointment.
The specific examination being ordered.
The referring physician’s name and phone number.
The diagnosis or reason for the exam.

Patient First Name*

Patient Last Name*

Patient Email Address*

Patient Birth Date*

Patient Contact Number*

Gender*

Address*

City*

Parish*

Request Form*

I hereby declare and certify that the information provided is accurate and factual to the best of my knowledge

Need support? Contact +1 (268) 484-2734 for assistance Monday - Thursday, 08:00 AM - 04:30 PM and Friday, 08:00 AM - 03:00 PM!

Radiology Appointment Requests

Patient Information

Terms & Conditions