Specialist Clinics referral guidelines & forms
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- Specialist Clinics referral guidelines & forms
Access referral guidelines and forms for Specialist Clinics.
Our Specialist Clinic referral guidelines and forms are provided below.
Referral guidelines are also published to Health Pathways Melbourne.
Referral information for other services is provided in Referrals.
Cancer & wellness
Referral guidelines
Links and downloads
- Hepatocellular Carcinoma Referral Guideline (PDF - 134.9 KB)
- Lung Cancer Referral Guideline (PDF - 139.7 KB)
- Oesophagogastric Cancer Referral Guideline (PDF - 179.9 KB)
- Radiation Oncology Referral Guidelines (PDF - 402.6 KB)
Referral forms
Links and downloads
- Hepatocellular Carcinoma Referral Form (PDF - 290.7 KB)
Clinics
Referral guidelines
Links and downloads
- Acquired Brain Injury (ABI) Rehabilitation Clinic Referral Guideline (PDF - 98.8 KB)
- Amputee Clinic Referral Guideline (PDF - 85.1 KB)
- Disability Service Referral Guideline (PDF - 90.6 KB)
- Family Planning Clinic Referral Guideline (PDF - 198.1 KB)
- Men’s Health Clinic Referral Guideline (PDF - 201.5 KB)
- Neurology Rehabilitation Clinic Referral Guideline (PDF - 191.5 KB)
- Orthopaedic & General Rehabilitation Clinic Referral Guideline (PDF - 95.1 KB)
- Spasticity Rehabilitation Clinic Referral Guideline (PDF - 88.0 KB)
- Stroke Rehabilitation Clinic Referral Guideline (PDF - 87.1 KB)
Care & support
Referral guidelines
Links and downloads
- Palliative Care Referral Guideline (PDF - 82.6 KB)
Medical problems
Referral guidelines
Links and downloads
- Dermatology general referral guideline (PDF - 186.3 KB)
- Dermatology skin cancer assessment referral guideline (PDF - 186.6 KB)
- Diabetes referral guideline (PDF - 301.5 KB)
- Ear, nose & throat referral guideline (PDF - 741.3 KB)
- Endocrinology general referral guideline (PDF - 130.1 KB)
- Gastroenterology general referral guideline (PDF - 435.7 KB)
- General medicine (Clinics 1 - 5) referral guideline (PDF - 77.0 KB)
- High risk foot service referral guideline (PDF - 191.5 KB)
- Infectious diseases referral guideline (PDF - 157.8 KB)
- Neurology referral guideline (PDF - 573.2 KB)
- Ophthalmology referral guideline (PDF - 258.8 KB)
- Paediatric referral guideline (PDF - 79.9 KB)
- Renal (nephrology) referral guideline (PDF - 155.5 KB)
- Respiratory: Allergy & asthma referral guideline (PDF - 155.5 KB)
- Respiratory: Obstructive sleep apnoea referral guidelines (PDF - 171.5 KB)
- Rheumatology referral guidelines (PDF - 688.3 KB)
- Weight Control Clinic (medical) referral guidelines (PDF - 261.6 KB)
Referral forms
Links and downloads
- FibroScan referral form (DOC - 53.7 KB)
- Hepatitis C Outreach Clinic referral form (PDF - 303.3 KB)
Mental health
Referral guidelines
Links and downloads
- Adolescent & child eating disorders referral guidelines (PDF - 106.5 KB)
Surgical procedures
Referral guidelines
Endoscopy
Patient referrals for endoscopic procedures including colonoscopy should be directed to Specialist Clinics in line with the Gastroenterology general referral guidelines.
Links and downloads
Orthopaedic surgery
Links and downloads
- Ankle & foot referral guidelines (PDF - 298.4 KB)
- Elbow & forearm referral guidelines (PDF - 288.7 KB)
- Hip & thigh referral guidelines (PDF - 286.2 KB)
- Knee & leg referral guidelines (PDF - 303.7 KB)
- Malignancy, infection, lumps & metal removal referral guidelines (PDF - 247.4 KB)
- Shoulder & arm referral guidelines (PDF - 311.0 KB)
- Back & neck referral guidelines (PDF - 175.9 KB)
- Wrist & hand referral guidelines (PDF - 283.3 KB)
Other surgery
Links and downloads
- Bariatric surgery referral form and referral guidelines (PDF - 770.6 KB)
- Endocrine surgery general referral guidelines (PDF - 138.0 KB)
- General surgery referral guidelines (PDF - 135.5 KB)
- General surgery hepatobiliary referral guidelines (PDF - 188.3 KB)
- General surgery upper GI referral guidelines (PDF - 257.4 KB)
- Maxillofacial surgery referral guidelines (PDF - 111.1 KB)
- Neurosurgery back & neck pain referral guidelines (PDF - 101.0 KB)
- Urology referral guidelines (PDF - 286.3 KB)
- Vascular surgery referral guidelines (PDF - 221.5 KB)
Referral forms
Links and downloads
- Neurosurgery back & neck pain referral form (PDF - 101.0 KB)
Related content
-
Statewide referral criteria for specialist clinics
Browse the referral criteria for common conditions by speciality (Department of Health).