Follow the steps to complete your referral form correctly.

1. Press the ‘Get Form’ button to access the referral form and open it for editing.
2. Begin by filling out the patient details section. Complete all required fields, including the patient’s surname, given name, date of birth, RCH UR number (if known), gender, address, postcode, and contact information for the parent or carer, including their mobile and landline numbers.
3. Enter the patient’s Medicare number, referral number, and expiry date, if applicable. If the patient is not Medicare eligible, select the appropriate option. Indicate the patient’s Indigenous status by selecting Aboriginal, Torres Strait Islander, or Not Indigenous.
4. Specify whether an interpreter is required by selecting 'Yes' or 'No.' If 'Yes,' indicate the language needed.
5. Provide clinical details. Select the relevant department or indicate that RCH should determine it. If applicable, complete the doctor’s name for MBS clinics and specify if this referral is new or a continuation of an existing referral.
6. In the reason for referral section, detail the clinical findings, management to date, investigation results, relevant medical and social history, special needs, allergies, and current medications.
7. Fill out the referring doctor details, including their given name, surname, referral duration, provider number, practice name, practice address, telephone number, and fax number. Specify any other information if necessary.
8. Have the referring doctor sign and date the form. Ensure all required signatures are collected before submission.
9. Once all fields are completed, save any changes made. You can then download, print, or share the referral form as needed.

Complete your AU RCH Specialist Clinics Referral online today for prompt processing.