Please ensure you complete all details for your Bupa CD Imaging Request for your chest x-ray. CDs will only be mailed within Australia.

Privacy Notice: Personal information provided in this form will be used to process your request. If you are making this request on behalf of another person, then you represent that you are authorised to provide us with their personal information and make this request. You can read the Bupa Medical Visa Services complete privacy statement at www.bupamvs.com.au/privacy.

If you have not received your chest x-ray after 14 days of completing the request form, please contact bmvs.support@healthcareimaging.com.au or 1300 656 194 and one of our team members will contact you.