Patient Referral

Referrals may be faxed to: (03) 5444 0878, sent via ARGUS or as a last resort posted to: PO Box 462, Bendigo VIC 3552. Once received, our friendly secretaries will contact the patient to arrange an appointment.

NOTE: * indicates required fields.

GP/Specialist details
Please enter phone number with area code included. No spaces please. eg. 0298765432
Patient details
Please enter phone number with area code included. No spaces please. eg. 0298765432
File Attachment
Provide up to five relevant documents (scanned referral, certificates etc).
Files must be less than 5 MB.
Allowed file types: gif jpg jpeg png txt rtf pdf doc docx.