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3 Josephson St, Swansea, NSW 2281 |
02 4971 1911
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Repeat Referral
Referral Request
Date of birth
(Required)
First Name
(Required - as appears on your medicare card)
Last Name
(Required)
Mobile Number
(Required for SMS confirmation)
Name of Specialist
(Required)
Reason for Referral
(Required)
I consent to the practice contacting me by sms for the purpose of health information and appointment reminders.
Yes
No
I agree to the $45 fee payable for the referral
(Required)
Yes
No
Terms & Conditions
To obtain a repeat referral, you must have previously seen the specialist within the past 18 Months. (re-referrals ONLY no imaging or pathology requests)
This service is only available for existing patients, who have been seen by their GP in the last 6 months.
Referrals cannot be backdated.
Each referral request is assessed by your doctor within 3 business day. They will approve or decline the request on clinical grounds. If the request is declined, you will be advised to make an appointment.
Your GP may not be able to provide a repeat referral if they have not seen you recently.
Requests will only be completed by your regular doctor at the clinic. In the event that your regular doctor is on leave you are required to make an appointment to obtain your referral.
A fee is charged for each request. This fee is payable before the referral will be ready for collection or emailed to your relevant specialist
Requests for repeat referrals may take several business days to be processed. Urgent requests will be completed by the specified processing time, however; this is subject to your regular doctor consulting on the day of receiving the request and having approved the request on clinical grounds.
Delivery via mail may take up to five (5) business days to arrive from the date posted. If you require your referral earlier, we advise that you should collect it from the clinic directly where this option is applicable.
I've read and agree to the above terms & conditions
(Required)
Yes
Request Repeat Referral
If you are human, leave this field blank.
Call 02 4971 1911 to book an appointment or
BOOK ONLINE
Home
Who We Are
Our Services
Our Fees & Billing
After Hours Access
Appointments, House Calls & Phone Access
Repeat Scripts, Test or Procedure Results
Our Team
Our Doctors
Our Allied Health Professionals
Latest News
Healthcare Links
Contact Us
Download Forms
Implanon Consent Form
MedicineInsight Patient Information Form
MedicineInsight Patient Opt Out Form
Patient Complaint Form
Third Party Consent or Removal Form
Change Doctor to Our Practice Form
Change of Doctors to Other Practice Form
Call 02 4971 1911