Referral forms

GPs and private health care providers

Please enter your details below to access the Lady Cilento 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.

Name*
First Last
Email*
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Phone
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Children’s Health Queensland

Queensland Children’s Hospital

Research and education

Children’s Hospital Foundation

Referral forms

GPs and private health care providers

Sending referrals

Secure messaging via –

Outpatient Call Centre