Refer a patient

for cardiology or sleep and respiratory medicine services

To refer for Cardiology and Sleep please select your required specialty below and click to view our referral forms.

Please access referral templates directly from Medical Director & Best Practice.

If you’d like to receive referral forms, request pads or electronic referral templates (rtfs) including instructions to access directly from Medical Director & Best Practice, please contact your state referrer engagement team via details below. Interactive PDF referral forms are also available below. To ensure patient privacy and Medicare compliance, we encourage these forms to be printed, hand signed and faxed directly to your nearest centre.

QLD - Cardiology services referral form

Download and complete the referral form below for cardiology services in Queensland.

VIC - Cardiology services referral form

Download and complete the referral form below for cardiology services in Victoria.

VIC - Cardiology express clinic referral form

Download and complete the referral form below for cardiology express clinic in Victoria.

SA - Cardiology services referral form

Download and complete the referral form below for cardiology services in South Australia.

WA - Cardiology services referral form

Download and complete the referral form below for cardiology services in Western Australia.

WA - Cardiac CT services referral form

Download and complete the referral form below for Cardiac CT services in Western Australia.

NSW - Cardiology services referral form

Download and complete the referral form below for cardiology services in New South Wales.

For all cardiology enquiries please email:

Refer for sleep and respiratory medicine

Please access referral templates directly from Medical Director & Best Practice.

If you’d like to receive referral forms, request pads or electronic referral templates (rtfs) including instructions to access directly from Medical Director & Best Practice, please contact your state referrer engagement team via details below. Interactive PDF referral forms are also available below. To ensure patient privacy and Medicare compliance, we encourage these forms to be printed, hand signed and faxed directly to your nearest centre.

QLD - Sleep medicine services referral form

Download and complete the referral form below for sleep medicine services in Queensland.

QLD - Sleep and respiratory testing referral form

Download and complete the referral form below for sleep and respiratory testing in Queensland.

QLD - Epworth screening form

Download and complete the referral form below for Epworth screening in Queensland.

QLD - STOP BANG screening form

Download and complete the referral form below for STOP BANG screening in Queensland.

WA - Sleep and respiratory medicine services referral form

Download and complete the referral form below for sleep and respiratory medicine services in Western Australia.

WA - Epworth screening form

Download and complete the referral form below for Epworth screening in Western Australia.

WA - STOP BANG screening form

Download and complete the referral form below for STOP BANG screening in Western Australia.

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