Eligible Medicare patients pay from
$52.90
out-of-pocket | Bulk billed 11:30 pm–12:30 am | $52.90 out of pocket overnight until 8:00 am | $89 initial consultation at all other times | All consultations with a referral letter are bulk billed.
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GP & Specialist Referral Form
We welcome referrals from GPs, specialists, and healthcare providers. Please use the form below to share patient details securely. Our team will review the referral and contact the patient to arrange an appointment.
Patient Details
Supporting Document (Scan, report etc)
2MB Max file size. Formats include Doc, Docx, PDF, JPG, JPEG, PNG
Referring Doctor's Details
Signature:
Date: