Option 1: To refer a patient, please download and fill our interactive referral form (you need to open it with Adobe Reader or Acrobat Reader). This form includes options to sign the form using E-signatures or using a saved signature. Also, print & quick send buttons available on the bottom of the first page.
Option 2: Alternatively, download and fill our printable PDF version of the referral form then send it to:
referral@myheartcardiology.com.au
| Form Type | Printable Version | Interactive Digital Form |
|---|---|---|
|
General Referrals
|
Download PDF | Download PDF |
|
Chest Pain Clinic Referrals
|
Download PDF | Download PDF |
|
Hypertrophic Cardiomyopathy Clinic (HCM) Referrals
|
Download PDF | Download PDF |
|
Vascular Medicine Clinic Referrals
|
Download PDF | Download PDF |
|
POTS Referrals
|