Referral Forms

medical and nurse looking for something on a digital tablet at the hospital

Phone: 07 3861 5522

Between the hours of 8.00am to 5.00pm Monday to Friday

Fax: 07 3861 5622


Referral Forms: Open and download the PDF Form or fill in the online referral form below.

Please note the patient will need to bring a signed referral to their appointment.

Print then Fax to (07) 3861 5622.

Online Request Form

    Note: The patient will need to bring a signed request form to their appointment. Alternatively, this can be faxed (07 3861 5622) or sent via Medical Objects