Refer a Patient

Referral template

Should you wish to refer a patient, please complete the online referral template below. 

Once received, the referral is triaged and categorised in order of urgency. The patient will then be contacted directly with an appointment either by phone, email, SMS or a posted letter.


If the referral is urgent the referring GP/Specialist is more than welcome to contact the rooms/Adee to discuss concerns further.

 
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ONLINE REFERRAL

Please complete relevant fields below and fax any supporting documents e.g. patient history, pathology results, radiology results etc. to F: 03 5561 4898

Please select one or more relevant item

Thanks for submitting!