St George Hospital

Outpatient Referral Form

Please print Outpatient Referral complete and fax to the number on the form.

(Next available appointment assigned to patient and they will be  notified date and time) 

Should you require an urgent appointment for your patient, please contact St George Hospital switch board on 9113 1111 and request redirection to the Senior Registrar page number of the Specialty clinic. 

Emergency Department Referral Form

Please print Emergency Department out, complete and fax to the number on the form.

Ambulatory Care Unit

Please note that there have been some changes to the documentation required for Referral to ACU from General Practitioners

- Treatments within the department require Ambulatory Care Referral Form clearly state the client’s name, treatment required, medication name, dose, route, frequency and time.

Any patients requiring medication related treatments within the ambulatory care unit will need to have the following

- Ambulatory Care Referral Form clearly state the client’s name, treatment required, medication name, dose, route, frequency and time.

- Community medication authority form attached to the referral form

- Medication script for patient to fill prior to appointment

Clients referred to ACU from GPs are required to be reviewed by the ACU registrar prior to treatment being commenced. The ACU registrar will be responsible for charting the requested treatment after reviewing the patient on a medication authority form

- No nursing interventions are to occur with GP referred clients prior to ACU registrar review

Please click to download & complete necessary forms

ACU Referral       Community Medication Authority        Community Medication Sample

Antenatal Booking Form

Please print Antenatal Booking & Referral form and ensure that the patient completes her section. 

Fax or post to details displayed on the bottom of the form.

Medical Director Version: Booking Form

Antenatal Referral Forms

Please select and print  referral form and ensure that the patient completes her section. 

Fax or post to details displayed on the bottom of the form.

• Gynaecology, Obstetric & Genetics Referral Form

• Paediatrics & Genetics Referral Form

Respiratory & Sleep Medicine Unit

Lung Function Request                Respiratory & Sleep Medicine Referral

Please click on form to download or print, complete and fax to the number on the form.

Genetic Counsellor Referral Form

Please print Genetic Counsellor Referral out, complete and fax to the number on the form.

Hospital Physiotherapist Referral Form

Please print Hospital Physiotherapist Referral out, complete and fax to the number on the form.

Calvary Hospital

Please print CRAGS Central Intake Form, complete and fax back to the number on the form

Specialist's Directory by Category

• Dermatology

• Nuclear Medicine

• Obstetrics and Gynaecology

• Opththalmology

• Paediatrics

• Physicians

• Psychiatry

• Sports

• Surgeons

The St George Division would like to acknowledge the Sutherland Division of GPs for development of the Specialist Directory