Registration Page

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Step 1: Facility and Radiologist’s Details

Step 2: Add Scanners > Step 3: Add Contact

Complete

Please complete all fields marked with an asterisk*

Facility Details
Facility Name*
Facility LSPN *
Facility Type:*
Address
Address Line 1:*
Address Line 2:
Address Line 3:
Town/Suburb*
Country*
State*
Postcode*
Radiologist’s Details
Title*
If Other, Specify
Family Name*
First Name*
Middle Name
Phone(Office)*
Phone(Mobile)
Fax
Email*

By ticking this, I hereby certify that I have read the disclaimer statement found at the bottom of this website. The Contact details within this application and all information submitted in connection with this online application is true and correct. I agree that ARPANSA may verify any of the information submitted in support of this application, and I understand that I am under a continuing obligation to advise the National Diagnostic Reference Level Database of any changes which may occur after application submission. I further certify that this contact person has the right to receive information on behalf of the nominated facility. I understand and agree that the omission, misrepresentation, or concealment of any significant fact in any statement may be considered sufficient reason for legal action against the facility which will be executed to the full extent of the law.

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National Diagnostic Reference Level Service

Registration Process – Step 1 – Facility and Radiologist’s Details