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Medicare Online Referral

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Participant Details

Advocate and Guardian Information

Does the participant have

Referring GP Contact Details

Services Required

Services
*Please note: GP Mental Health Treatment Plan required.
Services
*Please note: general practitioner care plan required.

Diagnosis and Documentation

Please provide a copy of the medical care plan and general practitioner referral letter. If you do not yet have a medical care plan, please visit your general practitioner to have this completed. This plan is required to be completed before your first appointment so that you can access the Medicare rebates.
Click or drag files to this area to upload. You can upload up to 25 files.
Accepted file types: .xlxs, .jpg, .jpeg, .doc, .docx, .pdf, .png

Further Information

Disclaimer

Please note:  We endeavour to process referrals within 2 business days and will call you to schedule an appointment. If we are unable to make contact by telephone, we will schedule the appointment and email this to the contacts provided in this referral form. This email will confirm the appointment date and time, and any additional documentation or information required prior to the appointment. We would appreciate you looking out for this email and letting us know as early as possible if it needs to be rescheduled.

If your referral is urgent, please call us on 1800 000 677.


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