Address:
87-129 McKean STREET, CABOOLTURE, 4510

Billing:
Bulk Billing Available

Referral must include:
• Patient demographics including full name, date of birth, contact details, postal address or contact address (if not the same as usual residence)
• Date of referral
• Referring practitioner’s full name, address and contact details
• Referring practitioner’s provider number and signature
• Detailed reason for referral (including the problem to be assessed, degree of loss of function, pain experienced, ect)
• Relevant information about patient’s condition such as previous medical/ surgical treatment (include systemic and topical medications prescribed for the condition) and any associated medical conditions which may affect the condition or its treatment (e.g. Diabetes)
• Current medications and doses, prescribed and over the counter (Note any recent changes in drug therapy)
• Allergies (drug/ topical preparation)
• Aboriginal, Torres Strait Islander status

Desirable Referral Information:
• Relevant psychological and social issues impacted by condition
• Smoking and alcohol history
• South Sea Islander status
• Medicare Number
• Interpreter requirements
• Patient status (DVA, Work cover, Motor Vehicle Insurance, Medicare Ineligible)

• FBC, E/LFT, ABGs if applicable
• Recent results of specific tests, eg Pertussis, Legionella, Mycoplasma
• X-ray & scan reports
• Spirometry if available
• Smoking history
• Outline the degree that presenting problem is affecting the ADLs eg: Breathlessness
• Purpose of the consultation
• Urgency? < 2 weeks, < 4 weeks, < 8 weeks
• Current exercise tolerance