The Townsville Hospital - Liver Clinic

Visiting service. Please call for an appointment.

Ingham Health Service

4 days per week - please phone.
Outpatient Clinics Medical and Radiation Oncology

Mackay Base Hospital - Outpatient Clinics Liver

Mackay Base Hospital - Hepatology 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

Gympie Hospital - Renal Clinic

Nambour General Hospital - Hepatology Department

Caloundra Health Service - Renal Dialysis Services

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

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/

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Hepatology in Douglas

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Hepatology in Douglas

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The Townsville Hospital - Liver Clinic