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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.
  • This field is for validation purposes and should be left unchanged.

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