For Referrers

You may send your referral by:

  1. Filling in the below online form
  2. Fax: 03 9115 7616
  3. Digital Oculo integration

Referral pads may be obtained for use in your facility. Please contact our office to arrange for delivery.

Urgent referrals should be marked ‘FOR URGENT TRIAGE’. If you feel an urgent appointment is required in a very short time frame please contact our office directly.

Our surgeons may be free to discuss an urgent case if you require our assistance.

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Patient Information

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Date of Birth*
Address*

Clinical notes

Investigation

Referring Doctor

Document upload

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