Follow the steps to complete your referral form.

1. Click ‘Get Form’ button to obtain the form and open it in the designated editor.
2. Fill in the patient details. Ensure all fields are complete, including the patient's surname, given name, date of birth, RCH UR number (if known), gender, address, postcode, parent/carer surname, given name, mobile number, landline number, Medicare number, referral number, expiry date, indigenous status, whether an interpreter is required, and preferred language.
3. Provide clinical details. Specify the department (if known), choose whether the RCH should determine the department, and indicate to which doctor the referral is directed (required for MBS clinics).
4. Indicate whether this is a new referral or a continuation of an existing referral. Expand on the reason for referral by including relevant clinical findings, management to date, investigation results, medical and social history, special needs, allergies, and current medications.
5. Complete the referring doctor details, including their given name, provider number, practice name, practice address, telephone number, signature, surname, fax number, and the date.
6. Specify the referral duration, choosing from options such as 3 months, 12 months, indefinite, or other (if applicable).
7. Review the completed form for accuracy. Once satisfied, you can save changes, download, print, or share the form as needed.

Start completing your Rch Specialist Clinics Referral form online today to ensure timely access to specialist care.