Referral forms to outpatient services

To refer a patient, referrers will need to complete one of the standardised referral forms (external site) and send it to the CRS. The CRS prefers referral forms sent by secure messaging. Referrals are sent via secure messaging at, Healthlink Secure Messaging: crefserv.

The catchment map (PDF) outlines the suburb catchment areas for Osborne Park Hospital and North Metropolitan Health Service.

 

Service Form Criteria / Notes Contact
Clinical Psychology   GPs should refer patients for a medical review and not to the clinical psychologist directly. Tel: (08) 6457 8100
Community Mental Health Service Community Mental Health Referral Form (Word) OPH catchment area (PDF), self referral is also accepted. Tel: (08) 6457 8350
Fax: (08) 6457 8388
Diabetes Diabetes Referral Form (Word) Outpatients may be referred for education. Outpatient consultations are only available to patients with a written referral from their GP / specialist and who live within the NMHS region. Tel: (08) 6457 8102
Fax: (08) 6457 8498
Dietetics and Nutrition Dietetics Referral Form (Word) A written doctor’s referral is required for all dietitian appointments Tel: (08) 6457 8128
Fax: (08) 6457 8497
Email: ophdietitians@health.wa.gov.au
Gastroscopy and Colonoscopy Referral form templates (external site) Referral Guidelines for upper GI Endoscopy and Colonoscopy (external site) CRS - Healthlink Secure Messaging: crefserv.
Occupational Therapy  

Quick reference referral guide (PDF)
Occupational Therapy services are available to patients who reside in the OPH catchment area (PDF)

Tel: (08) 6457 8198
Fax: (08) 6457 8308
Older Adult Mental Health Service Older Adult Mental Health Referral Form (Word) For people 65 years or over, reside in the OPH catchment area (PDF) and have a mental health disorder or are experiencing difficulties related to dementia. Tel: (08) 6457 8300
Fax: (08) 6457 8311
Physiotherapy   Patients must reside in our catchment area postcodes: 6017-6024, 6059-6062, 6029, 6064, 6066 and 6090 Tel: (08) 6457 8135
Fax: (08) 6457 8466
Podiatry   Patients must reside in our catchment area postcodes: 6017, 6018, 6019, 6020, 6021, 6022, 6023, 6024, 6025, 6026, 6029, 6059, 6060, 6061, 6064, 6027, 6028, 6030, 6031, 6032, 6033, 6034, 6035, 6036, 6037, 6065. Tel: (08) 6457 8338
Fax: (08) 6457 8008
Email: OPH.Podiatry@health.wa.gov.au
Radiology Radiology Request Form (Word) If the examination is URGENT please ensure this is written on the form and phone the department to ensure the request has been received. Fax: (08) 6457 8230
Email: ophradiology@health.wa.gov.au
Speech pathology  

e-Referrals are not accepted. Referrals for voice disorders must include a recent report from an Ear Nose and Throat Specialists.

Tel: (08) 6457 8225
Fax: (08) 6457 8232
Email: ophspeechpathology@health.wa.gov.au
Rehabilitation and Aged Care
Day Therapy Unit   Patients only requiring assessment for support services within the home and / or ACAT assessment, please refer via My Aged Care myagedcare.gov.au (external site). Fax: (08) 6457 8232
Geriatrician Residential Outreach service   Referrals can be sent to:
Dr Chermaine Chua or Dr Brendan Foo
Fax: (08) 6457 8313
RAILS – Rapid Response Team RAILS Referral Form (PDF) For people 65 years or over and living in the OPH catchment area (PDF) Tel: (08) 6457 8315
Fax: (08) 6457 8263

Last Updated: 28/10/2021