Employer’s procedures
Requesting a cancellation of a Radiology exam: Clinicians (pdf)
Non-medical referrers
Non-medical referrer Annual Assurance (non  email address)
The form is hosted securely on Microsoft Forms and will open in a new tab.
If you experience any issues completing the form, please contact the team for support. Email the team at: [email protected]
Non-medical referrer Annual Assurance (non-LTHT staff)
The form is hosted securely on Microsoft Forms and will open in a new tab.
If you experience any issues completing the form, please contact the team for support. Email the team at: [email protected]
Non-medical referrer application form (Non LTHT staff)
The form is hosted securely on Microsoft Forms and will open in a new tab.
If you experience any issues completing the form, please contact the team for support. Email the team at: [email protected]
Non-medical referrer application form (Non )
The form is hosted securely on Microsoft Forms and will open in a new tab.
If you experience any issues completing the form, please contact the team for support. Email the team at: [email protected]
LTHT Radiology IRMER Employer Procedures (pdf)
Application from for Registered Health Care Practitioner authorisation to request imaging
CSU annual assurance of RHCP practice
Non-Medical referrer protocols
Protocol authorisation for non-medical referrers – 2ry care chest (pdf)
2ry care – skeletal imaging (pdf)
2ry care – skeletal imaging (pdf)
2ry care – MDT outcome (pdf)
2ry care- imaging follow up (pdf)
Spinal Imaging – Physiotherapy (pdf)
Musculoskeletal Physiotherapist Advanced Practitioner Requesting (pdf)