Referral Template

REFERRAL FOR TREATMENT Patient Details: Referral to: Referring Doctor: Referral Date: Referral Duration: Comments if The Referral is Urgent: Reason/S for Referral: Relevant Clinical Notes: Current Problem Summary/List: Relevant Past Medical History: Current Medications: Allergies/Adverse Reactions: Relevant Investigation Results: Referring Doctor’s Signature (unless electronically signed)

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Referral Guidelines

• A general practitioner (GP) referral to a specialist lasts 12 months from the specialist’s first meeting with the patient unless a different duration is stated on the referral.
• GPs can refer beyond 12 months, or indefinitely if the patient needs ongoing care.
• Referrals from specialists and other consultant physicians are valid for 3 months unless they are for an admitted patient.
• A new GP referral is generally required if:
  • the referring practitioner decides the patient’s condition needs to be reviewed
  • the last referral has expired
  • the patient was last seen by the specialist or consultant physician more than 9 months earlier

External links

Health Practitioner Directories - Australia

All health practitioners

• HealthShare
• AusHealthPages

Hospital-based medical specialists

• Healthscope Specialist and Doctor Search*
• Ramsay Health Find a Specialist*

Psychiatrists

• Find a Psychiatrist - Your Health in Mind (RANZCP)

Psychologists

• Find a Psychologist - APS
• Recharge Wellness - online and telephone psychologists