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.

  • This field is for validation purposes and should be left unchanged.
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

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 services:

  • Inala Community Clinic
  • Mt Gravatt Community Clinic
  • North West (Keperra) Community Clinic
  • Nundah Community Clinic
  • Pine Rivers Community Clinic
  • Yeronga Community Clinic
  • Eating Disorders Program (excl. Day Program)
  • Zero to Four

Please use this referral form if you are referring to the Eating Disorders Statewide Program or referring internally from within Children’s Health Queensland.

If you are external to Queensland Health and wish to refer to the Eating Disorders Program, please use the CYMHS Referral form.

Please use this referral form if you are referring to the Eating Disorders Day Program.
Day Program Referral Guidelines

Sending referrals

Secure messaging via –

Medical Objects ID: RQ402900084 HealthLink ID: qldrchld

Post: PO Box 3474 South Brisbane Qld 4101 f: 1300 407 281 e: (Queensland Health staff only)

Outpatient Call Centre

Patients should contact the Outpatient Call Centre to confirm or change appointments. To provide you with the best possible service, please check your outpatient appointment letter and have your patient reference number (URN) handy (displayed in the top right of the letter).

t: 1300 762 831