General Practitioners are encouraged to refer to Western Health Outpatients Services using the Victorian State-wide Referral Form (VSRF) and accompanying Victorian State-wide Referral Form Plus (VSRF+) where available. This form can be accessed via our GP Liaison webpage by clicking on the following link GP Liaison - Outpatients
All General Practitioner referrals must have the following minimum information:
- Patients surname, first name, date of birth, current address, phone contact (day time) and Medicare Number
- Your surname, first name, Provider number, Clinic name and address, Clinic telephone number
- Reason for referral / diagnosis, relevant past history, current medications, relevant diagnostic investigations, attempted treatments / interventions / actions
- The referral must be legible (Typed referrals are preferred)
When General Practitioners are referring to MBS Clinics the following additional minimal information is also required:
- Evidence of informed consent from patient to attend an MBS (Private) Clinic
- Referral letter must state the Specialist's name
- Patients are to be advised to attend with their Medicare card
Note: There is no out of pocket charge for patients attending an MBS Clinic at this time