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Home › Health Professionals › Clinical Tools › HealthPathways › GP to GP referral

GP to GP referral

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Your details

Title

Name*

First Last

Qualifications*

Email

From time to time, the HealthPathways team will need to email you for communication relating to your listing. Please provide your email address below *

Area of special skills or expertise

Please select any services that you currently offer:

Allergy medicine

Circumcision (male)

Ear microsuction

Focused psychological strategies

Gender affirming care

Ingrown toenail surgery

IV Iron infusion (Ferinject)

Lactation medicine

Lifestyle medicine

Medical termination of pregnancy

Q-fever vaccination

Ring pessary

Smoking cessation

Specialist women’s health

Sports medicine

Tongue tie surgery

Vulval biopsy

Yellow fever vaccination

Zoledronic Acid Infusion (Aclasta)

Contraception

Please select any services that you currently offer.

IUD insertion

Vasectomy

Medicals

Please select any services that you currently offer.

Aviation

Dive

Visa

Specialised prescribing

Please select any services that you currently offer.

Accredited opioid treatment program prescribing

Cannabis medicines prescribing

Human immunodeficiency virus (HIV) S100 prescribing

ADHD Continuation Prescribing

ADHD Endorsed Prescribing

Other

Please select any that apply

Bulk billing available

Languages other than English spoken

Telehealth available

Practice name*

Post code*

Website

Email for listing on HealthPathways site*

Use the same email address entered above

Please use a different email address

Enter the email for listing on HealthPathways site*

Enter Email Confirm Email

From time to time, the HealthPathways team will need to email you for communication relating to your listing.*

Use the same email address above as is listed on HealthPathways

Please use a different email address

Alternate email address for receiving communications from the HealthPathways Team*

Enter Email Confirm Email

Referral contact information (i.e address, phone number, or fax number)*

Information required for referral

I consent to be listed on the Mid and North Coast HealthPathways GP to GP referral page as a provider against the practice areas selected above. In submitting my details for publishing, I confirm that I have the requisite training and/or experience as a provider for health services in the area(s) of practice selected above.*

Yes

I consent to be contacted by Healthy North Coast / HealthPathways from time to time as required to maintain this listing.*

Yes

I confirm I am the person named above or their authorised representative.*

Yes

Authorised representative name and contact details (if applicable).

If you need to update your details in the future, or wish to withdraw your consent for this listing, please advise the HealthPathways team via the Send Feedback button on the Mid and North Coast HealthPathways GP to GP Referrals page.

Healthy North Coast acknowledges the Traditional Custodians of the lands across our region, and pay our respect to Elders past, present and on their journey. We recognise these lands were never ceded and acknowledge the continuation of culture and connection to the land, sky and sea. We acknowledge Aboriginal and Torres Strait Islander peoples as the Land's First Peoples and honour the rich diversity of the oldest living cultures.

The PHN program is an Australian Government Initiative.

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