Document 6571162

Your doctor has recommended that you
use Repat Radiology. You may choose
another provider but please discuss this
with your doctor first.
Appointment date ........../........../..........
Appointment time ...................... am/pm
PATIENT DETAILS
Name:
Date of Birth:
Address:
Telephone:
Medicare Number:
CLINICAL DETAILS
EXAMINATION REQUESTED
REFERRING DOCTOR DETAILS
Creatinine _______________
Previous Contrast Reaction:
Yes
No
COPIES TO
DATE
DOCTORS SIGNATURE
Not for Public Health System Distribution.
ALL BOOKINGS AND ENQUIRIES PH: (08) 8275 1906
REPAT RADIOLOGY PROVIDES A BULK BILLING SERVICE FOR ALL MEDICARE ENTITLED PATIENTS.
PLEASE BRING ALL PREVIOUS RELEVANT X-RAYS AND YOUR MEDICARE CARD WITH YOU.
Modalities offered:
Consultant Radiologists:
• Digital OPG
• Prof Michael Sage
• CT Scanning
• Prof John Slavotinek
• Digital General X-Ray
• Dr Nigel Krauel
• Digital Fluoroscopy
• Dr Chris Whisson
• General Ultrasound
• Dr Brian Roache
• Vascular Ultrasound
• Dr Virginia Au
• Obstetric Ultrasound
• Dr Leigh Mosel
• Musculoskeletal Ultrasound
• Interventional Ultrasound
Request
• Dr Matthew J Sampson
• Dr Andrew Loja
• Interventional Radiology
• Dr Saba Hatami
• Coronary Artery Calcium Scoring
• Dr Anjana Chandy
• Dr Pouria Rezaian
A TR I A T I O
EP
N
Repatriation General Hospital
Daws Road Daw Park South Australia 5041
Telephone (08) 8275 1906
Facsimile (08) 8275 1116
Email [email protected]
Web www.repatradiology.com.au
R
• Dr Mark Sparnon
GENERAL
H O S P I TA L
DAW PARK
PATIENT PREPARATION INFORMATION
Please note Patients fasting for a procedure who are Diabetic or Insulin dependent need to inform
Repat Radiology of this when booking their appointment.
Those patients who are on Warfarin (a blood-thinning drug) also need to inform the receptionist when
booking their appointment.
If fasting for a procedure and you need to take Heart or Blood Pressure Tablets, please take your tablets
with a small amount of water. If you are on any other tablets, please bring them with you to take after
the procedure.
Barium Swallow / Meal / Follow-through and Small Bowel Series
Please have nothing to eat or drink for 8 hours (for a Barium Meal, Follow-through or Small Bowel Series)
or 4 hours (for a Barium Swallow) before your appointment. You may be required to spend a number of
hours in the department if a follow-through or Small Bowel Series is required.
Barium Enema - Large Bowel
Please obtain a preparation kit from your doctor or from Repat Radiology and follow the instructions
carefully.
CT Scan - Abdomen and Pelvis
Please do not have anything to eat or drink for 4 hours prior to the examination. Oral preparation
may need to be collected from Repat Radiology the day prior to the appointment.
CT Scan - Head, Chest, and Other Regions
Please do not have anything to eat or drink for 2 hours prior to your appointment.
CT Scan - Spine, Sinuses and Facial Bones
No preparation required.
CT Coronary Artery Calcium Scoring
Please avoid physical activity, smoking and drinks containing caffeine for 2 hours prior to your
appointment.
Ultrasound Scan - Upper Abdomen
Please do not have anything to eat or drink for 8 hours prior to your appointment.
Ultrasound Scan - Renal and Pelvis
You are required to have a full bladder for this examination. Please drink 1 litre of any fluid (tea or
coffee included), finishing 1 hour before your appointment time. Your Ultrasound examination will not
commence without a full bladder. You may choose to arrive with a full bladder or you may arrive 1 hour
prior to your appointment time and drink the litre of fluid at Repat Radiology.
Ultrasound Scan - Obstetric
Please drink ½ litre of fluid one hour before
appointment time.
Extract of Hospital Map
Repat Radiology is located in the Repatriation
General Hospital (RGH), on the corner of
Daws and Goodwood Roads at Daw Park. It
is best to enter the hospital from Daws Road
and park in “The Repat Clinics” car park, from
here, follow the covered walkway to Repat
Radiology. It is well sign-posted. In addition
there are several dedicated car parks for
Radiology patients; these are located in car
park 8, please refer to the map.
Repat Radiology is pleased to answer
your queries.
Please contact us on (08) 8275 1906.