Follow the steps to fill out the AU RCH Specialist Clinics Referral form online

1. Press the ‘Get Form’ button to access the referral form and open it in your preferred editor.
2. Complete the patient details section. Ensure all fields are filled out, including the patient's surname, given name, date of birth, RCH UR number (if known), gender, address, postcode, and details about the parent or carer such as surname, given name, mobile number, landline number, Medicare number, referral number, expiry date, and their indigenous status.
3. Indicate if an interpreter is required by selecting ‘Yes’ or ‘No’ and specifying the language if applicable.
4. In the clinical details section, indicate the department if known or select ‘RCH to determine’. Also, specify whether the referral is new or a continuation, and detail the reason for the referral by including relevant clinical findings, management history, investigation results, and special needs or allergies.
5. Fill out the referring doctor details, including their given name, provider number, practice name, and practice address, alongside their telephone number and fax number.
6. Obtain the doctor's signature and date to finalize the referral.
7. Select the referral duration—options include 3 months, 12 months, indefinite, or specify another duration if needed.
8. Once all sections are completed, you can save your changes, download, print, or share the form as necessary.

Complete the AU RCH Specialist Clinics Referral online today to ensure timely access to specialist care.