The purpose of this form is to determine suitability for a DEXA Body Composition assessment for Dr Janet Macintosh to generate a referral for a DEXA whole body scan in accordance with Victorian State Regulations. Dr Janet Macintosh is a Specialist Medical Practitioner who holds a specialist registration with AHPRA in Radiology. lf you have any questions about the information requested please contact us on 0409647886. All information provided will be kept confidential.
Your written permission is required to release any information. Please note there will be a cost of $40 (Non-Medicare funded) for assessment and referral for DEXA body composition scan.You will only be charged if you proceed with the initial DEXA scan booking.
This initial referral to Body DEXA fit may be used for up to 4 scans within 12 months, to monitor changes in body composition response to intervention, with subsequent scans at least 8 weeks apart.
Alternatively, you may elect to use a Medical Practitioner or specified Allied Health Professional. If using a practitioner other than Janet Macintosh, you need to use this online form instead.
n.b. Conditions Apply: A GP or specified Allied Health Professional can only refer if they satisfy 4 prescribed clinical indicators, whereas a Specialist Medical Practitioner such as Dr Janet Macintosh is not subject to those restrictive clinical indicators.
This is our Body DEXA Fit COVID-19 Safety Plan.