Make a Referral
These online referral forms help us understand your needs, so that we can provide you with appropriate, high quality care.
![Make a Referral](https://www.yourch.org.au/wp-content/uploads/2024/07/PI_201806_0106-scaled.jpg)
You may be asked to complete a form before attending your first appointment.
Please contact us on (03) 8470 1111 for all other referral forms.
Referral forms for children
These forms should be completed by a parent or carer.
- Booking with our Paediatrician Clinic requires a GP referral, please see this page for more information.
- To make an enquiry or book an appointment with our Allied Health team, please complete this Referral Form: For Children aged 0 to 6 year.
- Prior to your child’s Allied Health appointment, please complete the Getting to Know Your Child form.