This form is for referrers who would like access to our Remote Image Viewing Service, which allows you to view your patients’ scans anywhere and at any time.
First, please read the terms and conditions. You will be asked to confirm, as part of the application process, that you accept them.
Then fill in the form below and press submit (all fields must be completed). We will receive your application and will process it as quickly as possible. You’ll receive an email receipt from us and a second email containing the information you’ll need to log onto the system. If you have already registered for our remote image viewing service, log in here.
If you have any questions about the system, please email a member of our team at firstname.lastname@example.org