Refer a Patient

Refer a Patient
Please specify the Doctor this referral is for *
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First Name: *
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Surname: *
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Address: *
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Suburb: *
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State: *
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Postcode: *
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Email:
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Birthdate
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Preferred phone: *
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Phone (Work):
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Phone (Mobile):
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Preferred Appointment:
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Clinical Details:
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Type of Consultation:






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Referring Doctor: *
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Provider Number: *
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Attach your referral:
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Clinic:
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Doctor's Address: *
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Doctor's Suburb: *
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Doctor's State: *
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Doctor's Postcode: *
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Doctor's Email: *
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Doctor's Phone: *
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Doctor's Fax:
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  • Professor Sanders says...

     
    Atrial fibrillation is a consequence of several reversible risk factors - high blood pressure, diabetes, obesity, sleep apnoea, and excessive alcohol. Your management of atrial fibrillation must include strict control of these risk factors.

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