Thank you for your referral

Our team will process your referral as soon as possible. A copy of the referral will be emailed to you shortly.

 

For any SARA program or patient related enquiries, please contact sara@genesiscare.com.

Form submission error

There was an error with the submission - please try again. If the issue persists,
please contact info@genesiscare.com for assistance.

SARA Program Referral

This electronic form will allow you to refer a patient directly to the SARA program.

 

We will email you a copy of your submission. Please ensure your email address is correct. 

 

 

Refer to

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  • Next available
  • Dr Rohit Joshi
  • Dr Vineet Kwatra
  • Dr Harminder Takhar 

Referring clinician

Patient information

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  • Female
  • Male
  • Other
  • Non-binary
  • Rather not say
  • Different Term
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  • ACT
  • NSW
  • NT
  • QLD
  • VIC
  • SA
  • TAS
  • WA

Medical notes

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  • Incidental findings
  • Screen detected

For example:

  • Blood tests results (PSA, histology)
  • images and imaging reports
  • Specialist correspondance
  • Biopsy results
  • Vital signs and medication lists
  • Treatment history

Please refer to your hospitals process for inpatient referrals...

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