Make A Referral

The below services have fillable referral forms, for all other services please see A-Z service pages for contact or referral instructions:

Antenatal Care

Community Health – Camperdown & Lismore

Community Health – Paediatrics

• Referral Form
• Child and Family Questionnaire

Community Health – Warrnambool

Community Palliative Care

Day Stay Unit

• Referral Guidelines
• Referral Form
• Consent to Operation / Procedure Treatment

Discharge Support and Liaison Referral

• Inpatient Rehabilitation (Rehabilitation or GEM (Geriatric Evaluation and Management))
• Transition Care Program (home based or bed based).
• Home with Supports (E.g. Care co-ordination: PAC/Complex Care)
• GEM @ Home
• RITH (Rehabilitation In The Home)

Fracture Clinic

Gynaecological Care

Healthy Mothers Healthy Babies

Specialist Outpatient Clinics  Referral Guidelines

• Diabetes Mellitus Type 1,
• Diabetes Mellitus Type 2,
• Endocrinology,
• General & Acute Care Medicine,
• Heart Failure Services,
• Hypertension,
• Movement Disorder,
• Nephrology/ Renal Medicine,
• Neurology,
• Perioperative Review,
• Stroke.