☆地址，联系电话
☆放射线专家请注意: [To the Radiologist]
请将填写完毕的160表格放入附带的信封中。封上信封，并在封口处签名或盖上橡皮章。如果不在澳大利亚本土，请把这个信封附带X光片放入一个外层信封。如果在澳大利亚本土，就不用附带X光片。请把这个信封返还给：直接交给信封上表示的澳大利亚政府办事处，若没有标明地址交给申请人本人;或者若在澳大利亚本土检查的，根据HSA的地区安排。
E部分[Part E]——申请人完成[Applicant to complete]
在你参加放射线检查之前：[Before you attend the radiological examination]
在下表中填写姓名和住址[fill in your name and address in the space below]
回答下边的问题[complete the question below]
这个信封是关于谁的私人医疗档案：[this envelop contains private medical documentation concerning:]
☆姓[family name]
☆名[given name]
☆地址[address]邮编[postcode]
关于澳大利亚签证申请人[in relation to an application for an Australian visa]
☆这份关于放射线检查的申请是否已经提交澳大利亚政府办事处？[Has the application to which this radiological examination is related, already been submitted to an Australian Government office?]
☆没有[no]
如果在澳大利亚本土以外，在检查以后，放射线专家将把你的所有医疗文件放入这个信封（附带X光片）并交到你所提供的以上地址。[If outside Australia after your examination, the radiologist will place all your medical documents into this envelope and forward it to you, with the x-ray attached, at the address you have given above.]
当你提交签证申请时，请务必把这个未开封的信封和X光片一同提交[you must make sure that this unopened envelope and x-ray (if attached) accompanies the application for an Australian visa when it is submitted.]
注意：如果你还没有提交申请，请注意填写A部分的问题7。[Note-if you have not lodged the application, ensure that Question 7 of Part A is complete.]