Referral forms
GPs and private health care providers
Please enter your details below to access the Queensland Children’s Hospital specialist referral form. By registering your details, you will receive an email notification each time this form is updated. This will ensure all referrals are addressed to the correct specialist, avoid unnecessary delays in processing and minimise requests for changes to referrals. The eligibility requirements should be reviewed before referring your patient.
Please consult the Child Health Service pre-referral guidelines before submitting a referral and use the Child Health Service referral form.
Queensland Health or Government clinicians
Please email completed referral form to DeadlyEars@health.qld.gov.au
External clinicians
Please fax completed referral form to 07 3310 7810
Please use this referral form if you are referring to one of the following CYMHS community clinics.
- Inala
- Mt Gravatt
- North West (Keperra)
- Nundah
- Pine Rivers
- Yeronga
For all other CYMHS services please refer to Mental health services | Children’s Health Queensland for more information.