Online Referral – Health Practitioner

Please use any of the methods below to refer patients to us. Thank you for your time..

Referral letter: Attach and send (pdf, txt, jpg, jpeg & png files)

    Fax a letter to 02 8999 1059

    We are registered with the following SMD services

    • Agrus
    • Healthlink
    • Medical objects

      Priority:         UrgentNon-Urgent

      Category:      PrivateWork Cover/CTPDVA

      Referring Practitioner

      Practitioner's Name (required)

      Practitioner's Address

      Provider Number (required)

      Your Email

      Phone Number (required)


      Patient details

      First Name (required)


      Date of Birth

      Claim Number (applicable)

      Telephone Number (required)

      Referral Information