Please download and use our referral form when referring a patient to a RCH outpatient clinic. Please ensure that all information is completed and legible. Thoroughly completing this form will assist us to appropriately triage your patient.
If there is insufficient information on your referral we may contact you with a request for further information prior to making an appointment for your patient.You can access the referral form here: ExternalRefFormPDF (PDF 170 KB)
Please fax your completed referral form Specialist Clinics on 9345 5034.
A list of RCH clinics is available on the Contact us page.
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Telephone +61 3 9345 5522
50 Flemington Road Parkville
Victoria 3052 Australia