Send a

Options available to send referrals to PRC

Download our editable PDF standard referral form

A hand written (free text) request on plain or headed paper is acceptable.

Free text referrals will be accepted and 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)
  • referrer’s signature not required

Please call 1300 567 046 to make an appointment if your request is clinically urgent.