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Make an ED Referral

Step 1 of 2:

Select your preferred appointment using our calendar below. We offer appointments up to 7 days in advance.

When your appointment is confirmed, write down the appointment time and date. An email invitation will be sent directly to your patient.

Important: After you have booked your appointment, please scroll down the page to complete the referral form.

Step 2 of 2:

Please submit your referral information using our form below.

  • DD slash MM slash YYYY
  • DD slash MM slash YYYY
  • Please enter the best email address for us to contact patient/family.

Find us

Main Clinic
17 Murray Street
Clayton VIC 3168


St John of God
75 Kangan Dr
Berwick VIC 3806


Contact us

(03) 8572 1222
9am – 5pm
Mon – Fri

Make an Enquiry