Minimum referral requirements

The non-admitted specialist services access policy advises that referrers are responsible for including the minimum referral content required for all referrals. This ensures compliance with statewide or local referral criteria and provides complete and accurate information on the referral request to streamline the referral process and patient access.

Listed below is the mandatory information required for a referral request to be accepted and clinically prioritised.

Patient demographic information

  • full name
  • date of birth
  • name of parent or carer (if applicable)
  • address
  • telephone number(s)
  • email address
  • alternative contact details
  • preferred method of communication
  • Medicare number
  • Indigenous status (if applicable)
  • language other than English (if applicable), reliance on a carer, reliance on cultural, linguistic or disability support (e.g. need for an interpreter), reliance on transport support
  • contact details for usual GP (if the GP is not the referring clinician)

Referrer demographic information

  • full name
  • address
  • telephone and fax number(s)
  • email address
  • preferred method of communication
  • provider number

Reason for referral

What is the main purpose of the referral:

  • requesting services to establish a diagnosis, provide clinical assessment or inform a treatment plan
  • requesting partnership care between the patient, GP and the health service (such as patients with chronic or progressive conditions that require ongoing specialist advice, or services to improve and optimise people’s function and participation in activities of daily living)
  • requesting specific tests or investigations that cannot be ordered, accessed or interpreted through the primary care system
  • requesting treatments or an intervention.

Presenting problem

  • Indicate the presenting problem or working diagnosis.

Service requested

  • Indicate the clinic or service requested.

Required referral information

  • date of referral
  • indicate that the patient has agreed to the referral and the sharing of their personal and health information with the health service
  • referring clinician’s assessment of clinical urgency
  • required clinical information listed in any referral criteria for the resenting problem

Current patient management

  • current treatment
  • previous treatment and response to this treatment
  • complete and current medication list
  • allergies and previous adverse events
  • relevant medical history
  • relevant family history
  • relevant social history

What is the impact of the problem on the patient?

List any functional impairments, impact on work, study or school, impact on caring responsibilities, social impact, impact on comorbidities.

Resources

HealthPathways Melbourne

  • Email address: info@healthpathwaysmelbourne.org.au
  • Website: HealthPathways Melbourne
  • About:

    HealthPathways Melbourne is a free, web-based portal with relevant and evidence-based information on the assessment and management of common clinical conditions including referral guidance.

    Please refer to HealthPathways Melbourne for guidance in assessing, managing and referring for patient conditions (login required).​

    Referrals to outpatient clinics at Mercy Health will be triaged against clinical information and investigations based on these guidelines.

    Referrals that do not meet the required clinical information and investigations will not be accepted.

    Please email HealthPathways if you need to confirm your username and password.

Statewide Referral Criteria for Specialist Clinics - Victoria

  • Website: Statewide Referral Criteria
  • About:

    The Department of Health and Human Services has developed statewide referral criteria to assist GPs and clinicians referring patients to specialist clinics. These referral criteria have been developed to improve access to specialist clinics in public hospitals by improving the quality and appropriateness of referrals.

Last reviewed October 30, 2019.

Referral instructions and templates

To assist with appropriate referral triage and management, please use the Mercy Health referral templates including all required information. Referrals using your own template are also accepted providing that it includes all information required to triage.

Referral instructions and templates

Referral contact details

A quick listing page for our most commonly used referral contact details. To refer a patient, please complete a referral and fax to the relevant area, service or specialist clinic.

Referral contact details

MBS funded clinics (Medicare Benefits Schedule)

Learn more about Medicare Benefits Schedule (MBS) clinics offered at Werribee Mercy Hospital and Mercy Hospital for Women and the referring requirements for these clinics.

MBS funded clinics (Medicare Benefits Schedule)