How to send e-referrals

How you can get your referral to us

  1. You can use your usual practice software generated referral form, a downloadable PRC referral form, or a hand written request on plain or headed paper.
  2. Print it to a PDF printer/writer, document writer or take a photo of it and email it to us if you are unable to print it on paper.


If you do not have access to a referral form, complete our referral web form here.

Free text referrals will be accepted but must contain:

  • patient full name,
  • DOB,
  • address,
  • mobile and email (so we can contact them),
  • referrer name,
  • provider number,
  • practice name,
  • practice address,
  • investigation requested,
  • clinical details,
  • preferred method of contact (email or mobile so we can contact you if needed).
  • No Signature required.

Please call ahead on behalf of your patient if your request is clinically urgent.

If you need assistance, please contact your Customer Relations Manager