Refer a patient

WA

Non-Melanoma Skin Cancer Advisory Service referral information and 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.

For all cardiology enquiries please email:
QLD: infocardiologyqld@genesiscare.com
VIC: infocardiologyvic@genesiscare.com
SA: infocardiologysa@genesiscare.com
WA: infocardiologywa@genesiscare.com

Referral forms for download:

Referral form for cardiology services in QLD
Referral form for cardiology services in VIC
Referral form for cardiology express clinic in VIC
Referral form for cardiology services in SA
Referral form for cardiology services in WA

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.

For all enquiries please email:
QLD: infosleepqld@genesiscare.com
WA: infosleepwa@genesiscare.com

Referral forms for download:

Referral form for sleep medicine services in QLD
Referral form for sleep and respiratory testing in QLD
Epworth screening form QLD
STOP BANG screening form QLD
Referral form for sleep and respiratory medicine services in WA
Epworth screening form WA
STOP BANG screening form WA

To access GenesisCare referral templates compliant with Medicare changes from 1 November 2018 for diagnostic sleep services, please click here.