Transfer request

Use this form to request a transfer of patient images to WA Health PACS.

Provide complete patient and clinic details so the receiving team can process the request quickly and reduce follow-up delays. Accurate first and last name spelling, date of birth, and attended clinic information are essential for matching the correct study.

Use the study description and comments fields to include modality, approximate study date, and any relevant handling notes. If more context is required, QUBS support may contact you using the details submitted in this form.

After submission, your request is reviewed and forwarded through the appropriate workflows for WA Health PACS transfer. For urgent clinical cases, include clear urgency notes in the comments field and ensure your contact email is monitored so follow-up questions can be resolved quickly without delaying patient care.

Where possible, include identifiers that help locate the study faster, such as known exam type, clinic reference numbers, or approximate appointment details. Requests with complete and specific information are easier to verify and can be actioned sooner. This form supports secure transfer workflows and is intended for authorised clinical use only.

Please check that all mandatory fields are complete before submitting. Missing key details can delay verification and require follow-up from the support team. Accurate information helps WA Health teams process transfer requests efficiently and keeps patient care workflows on track.