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The attached endoscopy and consultation request form can be incorporated into your medical software and has been formatted in the same way as commonly used pathology request forms (e.g Melbourne Pathology). Click on link and download:

Referral template for endoscopy or consultation




Please send your referrals to our administrative staff: 


fax:     (03) 9978 0860

Alternatively, a letter indicating the reason for referral together with a copy of any recent blood tests or imaging results and the referrers details (including provider number) can be emailed or faxed to our office.

We use medical software that allows full integration with Argus and HealthLink. Please include your Argus/HealthLink details so that we can effectively communicate with you.

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