Patient Referral Upload

Medical providers may refer patients to The Children’s Private Medical Group by either faxing a referral to 9345 6100, using the Patient Referral form or uploading a referral letter in the file upload section below.

Families can also upload their child's referral using the file upload section below. The parent/guardian to enter their details below.

Please ensure the file attachment size is no larger than 5Mb.

Please note: items marked * indicate mandatory fields.