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  • Werribee Mercy Hospital

  • ClinicDocumentationContact
    ​Colorectal 

    Referral Form - PDF
    Referral Form - RTF

    Outpatient appointments: 03 8754 6700
    Fax: 03 8754 6710
    Please address the referral to the Colorectal Clinic.

    ​Early Assessment Pregnancy

    Referral Form - PDF
    Referral Form - RTF

    ​Outpatient appointments: 03 8754 6700
    Fax: 03 8754 6710
    Please address the referral to the Early Assessment Pregnancy Clinic

    ​Ears Nose and Throat

    ​​Referral Form - PDF
    Referral Form - RTF

    ​Outpatient appointments: 03 8754 6700
    Fax: 03 8754 6710
    Please address the referral to the ENT Clinic

    ​Medical Infusion Management

    ​​Elective Medical Waiting List Form

    Waitlist Enquires: 03 8754 3628
    • Appointment Enquires: 8754 3429 (Infusion Management Service)

    ​​Emergency Department

    ​​Referral Guidelines

    ​Admitting Officer: 03 8754 3318

    ​Gastroenterology

    Referral Form - PDF
    Referral Form - RTF

    ​Outpatient appointments: 03 8754 6700
    Fax: 03 8754 6710
    Please address the referral to the Gastroenteorlogy Clinic

    ​Gynaecology

    ​​Referral Form - PDF
    Referral Form - RTF

    ​Outpatient appointments: 03 8754 6700
    Fax: 03 8754 6710
    Please address the referral to Dr Sujatha Hemrajani / Gynaecology Clinic

    ​Hand Therapy

    ​Outpatient appointments: 03 8754 6700
    Fax: 03 8754 6710
    Please address the referral to the Hand Clinic

    ​Health Independence Program

    ​Referral F​​​orm​ - PDF 

    ​Enquiries: 03 8754 3800

    Fax: 03 8754 ​​3281​

    ​​Maternity

    Referral guidelines

    Outpatient Booking Visit Checklist 

    Maternity Service Guide

    Referral Form - PDF
    Referral Form - RTF
    Referral Form - MD
    Referral Form - BP

    Outpatient appointments: 03 8754 3467
    General practitioners: 03 8754 3400
    Fax: 03 8754 3467

    ​Orthopaedic 

    Referral Form - PDF
    Referral Form - RTF

    ​Outpatient appointments: 03 8754 6700
    Fax: 03 8754 6710
    Please address the referral to the Orthopaedic Clinic

    ​Palliative Care

    Referral Form - PDF
    Referral Form - RTF

    ​Outpatient appointments: 03 8754 6700
    Fax: 03 8754 6710
    Please address the referral to Dr Oliver Haskien / Palliative Care Clinic

    ​Physiotherapy

    ​​​Referral guidelines

    ​Phone: 03 8754 3150
    Fax:     03 8754 6710

    ​Psychiatric

    ​All psychiatric referrals should be made by calling 24 hour Psychiatric Triage: 1300 657 259

    ​Plastics

    Referral Form - PDF
    Referral Form - RTF

    ​Outpatient appointments: 03 8754 6700
    Fax: 03 8754 6710
    Please address the referral to the Plastics Clinic

    ​Surgical 

    ​​Referral Form - PDF
    Referral Form - RTF

    ​Outpatient appointments: 03 8754 6700
    Fax: 03 8754 6710
    Please address the referral to Assoc Prof Shaukat Esufali / Surgical Clinic

    ​Urology

    ​​Referral Form - PDF
    Referral Form - RTF

    ​Outpatient appointments: 03 8754 6700
    Fax: 03 8754 6710
    Please address the referral to Mr Dan Lenaghan / Urology Clinic

    ​Urogynaecology

    Referral Form - PDF
    Referral Form - RTF

    ​Outpatient appointments: 03 8754 6700
    Fax: 03 8754 6710
    Please address the referral to Dr Lore Schierlitz / Urogynaecology Clinic

    ​Vascular

    Referral Form - PDF
    Referral Form - RTF

    ​Outpatient appointments: 03 8754 6700
    Fax: 03 8754 6710
    Please address the referral to the Vascular Clinic

 

O'Connell Family Centre

Documentation

Contact

Referral form

​Enquiries: 03 8416 7600

Fax: 03 9816 9729
Email: ofc_reception@mercy.com.au

  • Palliative Care

     

    Documentation

     

    Contact

    Referral Form

    ​Referral Clerk, Mercy Palliative Care
    Phone: 03 9364 9777


     
 

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