Referral, Request Forms

Correspondence and Referrals: PO BOX 480, FREMANTLE WA 6959

Hospital contacts

Important contact information [39 kb pdf]

For hard copies, contact individual departments

	1 Generic referral instructions : GP Handbook 2008 Generic referral information  [pdf - 560kb]
	2 FHHS outpatient process flowchart : GP Handbook 2008   [pdf - 40kb]
	3 Request for outpatient appointment : GP Handbook 2009 GP referral form, WA Health, general practice, Clinical Priority Access Criteria CPAC Teaching hospital outpatient referral form
	4 Renal referral checklist : GP Handbook 2008 renal outpatient referral  [pdf - 55kb]
	5 Gastroenterology procedure request form : GP Handbook 2008 Gastro request form, Ambulatory surgery, Gastroenterology procedure request form  [pdf - 32.5kb]
	6 Aged Care Consultation request, Southern Aged Care Evaluation, Rehabilitation Service SACERS : GP Handbook 2008 SACERS form, GP Fax Referral, consultation request form  [pdf - 36kb]
	7 Hepatitis C shared care programme referral form : GP Handbook 2008   [pdf - 36kb]
	8 Mental Health Service adult and older Adult GP referral form : GP Handbook 2009 GP Referral Form, Fremantle Mental Health Service  [pdf - 32kb]
	8 Mental Health Service child and adolescent, CAMHS GP referral form : GP Handbook 2009 CAMHS referral form  [pdf - 878kb]
	9 Obstetrics Kaleeya public antenatal clinic referral form : Kaleeya Hospital GP Handbook 2008 Kaleeya antenatal clinic referral form, Kaleeya obstetric referral form GP Handbook 2008  [pdf - 40kb]
	Pathology request form : PathWest Laboratory Medicine WA, GP Handbook 2009   [pdf - 95kb]
	Radiology request : GP Handbook 2008 Radiology Department request form  [pdf - 107kb]

Email: (Service for General Practice)

Telephone / Fax: 9431 2540 Part-time service - answering machine service out of hours)

Page last updated / reviewed: 20 June, 2008
Page Owner: GP Liaison Program Coordinator