Referral required from a general practitioner. General practioners refer through Central patient intake Service via 1300 364 938 or visit www.health.qld.gov.au/metronorth/refer/

The Prince Charles Hospital - Hepatology

Referrals of adult outpatients to the day hospital are via General Practitioners only.

Royal Brisbane and Women's Hospital - Hepatology Clinic

Referrals to specialist outpatient services within Princess Alexandra Hospital must be in writing, and as a minimum contain the following:Patient demographics including Medicare number and Interpreter requirements. Patient's mobile phone contact number and an alternate postal or contact address (if not the same as usual residence). Reason for referral (including the problem to be assessed, degree of loss of function, pain experienced). Results of relevant investigations (pathology, radiology, histology). Current medications and doses, prescribed and over the counter (note any recent changes in drug therapy). Allergies (drug/topical preparation). Relevant information about the patient's condition such as previous medical/surgical treatment (include systemic and topical medications prescribed for the condition) and details of any associated medical conditions which may affect the condition or its treatment (e.g., diabetes), Relevant psychological and social issues impacted by condition. Smoking and alcohol history. Co-morbidities (current and past). IDU, alcohol use, T2DM, BMI. Mental health issues. Vaccination status - to ascertain requirement for HAV, HBV, ADT, etc
For all patients: Abdominal ultrasound, ELFT-serial LFT's if available, FBC, PT.
For hepatitis C:HCV antibody, HCV RNA results, HCV genotype
For hepatitis B:
HBsAg, aHBs, aHBc, HbeAg, aHBe
HBV DNA
For suspected haemochromatosis: iron studies: HFE gene studies
For elevated LFT's:
HCV and HBV antibody
For suspected liver lesion:
abdominal imaging (preferably ultrasound)

Note: Please include social circumstances which may influence
Patient outcomes, e.g. unstable housing, unemployment or inability to work, management of ADL's, social support.

Princess Alexandra Hospital - Hepatology Services

All referrals for the Outpatient Departments of both Southport and Robina Campuses of the Gold Coast Hospital are to be directed to:
Booking and Referrals Centre
By Secure Electronic Communications (Medical Objects)
Or
2nd Floor, Gold Coast Hospital
108 Nerang Street
Southport QLD 4215
OR
FAX – 5519 8448
PLEASE SEND BY ONE METHOD ONLY
For telephone enquiries:
Telephone – 5519 7813
Telephone – 5519 8290

Please ensure that all Pre-Requisite Tests ARE ATTACHED to your Referral (see clinic specific prerequisite tests).
Incomplete referrals WILL be returned and will delay patient categorisation and allocation of appointments.
NB: Clinic specific Referral Templates are available for download from www.gpgc.com.au.
Please remind patient to bring to appointment:
•	Medicare card
•	Any concessions cards - (pension / health care / DVA/ PBS safety net / ADF etc.)
•	Recent X-rays and Pathology results
•	List of current medications, including dosages.
FBC, E/LFTs, INR imaging as appropriate - US or CT
And
Hep B and C serology if indicated
Iron studies if indicated
Alpha-fetoprotein if indicated

Gold Coast University Hospital - Hepatology

Nambour General Hospital - Hepatology Department

Please ensure that all Pre-Requisite Tests ARE ATTACHED to your Referral
Please remind patient to bring to appointment:
Medicare card
• Any concession cards
(pension / health care / DVA / PBS safety net / ADF etc.)
• Recent X-rays and Pathology results
• List of current medications, including dosages.

This clinic is for the assessment of HCV and access to S100 treatment for
those patients who meet all current criteria:
• HCV RNA positive
• Over 18 years of age
• Not pregnant or breastfeeding
• Willing to use effective means of contraception
For further information or to clarify any issues please contact
Peta Deppeler – CNC Liver Clinic on 4616 6446 or 0497 626 746.
Pre-Requisite Tests
LFTs (serial measurements second monthly for six months if available),
Anti-Hepatitis C antibody (usually positive six weeks after infection), HCV
RNA (becomes positive >2 weeks after infection), HCV genotype/viral load
(annotate request 'Assessment for HCV treatment'), FBC, Prothrombin time,
Alpha-feto protein, Hepatitis A, B and HIV serology, Iron studies, Thyroid
function tests, anti smooth muscle antibody, liver kidney microsomal
antibody, anti-nuclear antibody.

Toowoomba Hospital - Hepatitis C Clinic

Gympie Hospital - Renal Clinic

Lismore Liver Clinic

•	Reason for referral, expectations and needs (including the problem to be assessed, degree of loss of function, pain experienced)
•	Patient demographics including Medicare number, interpreter requirements and mobile phone contact number
•	Patient's mobile phone contact number and an alternative postal or contact address (if not the same as usual residence)
•	Presenting symptoms/observation (including evolution and duration, severity, impact of condition)
•	Physical findings
•	Co morbidities (including Diabetes, cardiopulmonary, renal, obesity, (BMI) and details of any associated medical conditions which may affect the condition or its treatment
•	Results of relevant investigations (pathology, radiology, histology)
•	Current medications and doses, prescribed and over the counter (note any recent changes in drug therapy)
•	Relevant information about the patient's condition such as previous medical/surgical treatment (include systemic and topical medications prescribed for the condition)
•	Relevant psychological and social issues including impact on:
o	Employment;
o	Education;
o	Home;
o	Activities of daily living – low/medium/high
•	Alerts (including Rx [sp anticoagulants, immunosuppressive], Allergies (drug/topical preparation)
•	Smoking, alcohol history, substance abuse

Rockhampton Hospital - Hepatology Clinic

Gastroenterology and hepatology consultations. Diagnostic and therapeutic endoscopy including upper endoscopy and colonoscopy, and capsule endoscopy. Referral and appointment required.

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Hepatology in Chermside

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The Prince Charles Hospital - Hepatology