Referrals

Yes, I would like to make an online referral for a telehealth consultation for my patient.

We are pleased to offer patients treatment options for a variety of conditions via a single assessment or through continued private care. Currently, our wait times for psychiatric reviews are under two weeks offering timely and effective care for your patients. Once your referral is submitted, our team will review the referral and get back to you within 3 business days. Should you wish to utilise an alternative referral method, please see our referrals page.

Referrer Details

First Name

Last Name

Provider Number

Practice Name

Preferred Contact Number

Practice Address

Patients Details

First Name

Last Name

Date Of Birth

Address

Post Code

Mobile Number

Medicare Number

Medicare Reference

Next Of Kin (+ Phone Number)

Assessment Type

291 Assessment (single consult and plan)

293 Assessment (follow up of 291 plan within 12 months)

296 Assessment (Initial consult with a view for continuing care)

Private Patient/ Non Medicare Card Holder

Referral Reason

Past Medical History (Including Past Psychiatric Admissions)

Current Medications (Including Allergies)

Risks or Concerns

Referrals

Yes, I would like to make an online referral for a telehealth consultation for my patient.

Privacy, convenience, local expertise and knowledge.