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For Referring Doctors

EEG & Neurophysiology Referral

Request EEG, EMG, nerve conduction studies and other neurophysiology testing for your patients. We aim to provide prompt appointments based on clinical urgency.

Referral Requirements

A valid referral from a GP or specialist is required for Medicare rebates. Please include relevant clinical history and any previous investigation results.

Patient Information

Details of the patient being referred

Special Requirements

Referring Doctor Information

Your details for the referral

Tests Requested

Select the required investigations

EEG Studies

Neurophysiology Studies

Clinical Urgency *

Clinical Information

Relevant history and reason for referral

By submitting this form, you confirm the information provided is accurate and you have obtained appropriate consent from the patient.

Prefer to Send a Traditional Referral?

You can also send referrals via fax or email

Fax

(07) XXXX XXXX