In order for us to be able to accept your patient for review and treatment, referring GP’s/Medical Specialists are required to provide the following detail in your referral.
- full name
- date of birth
- Indigenous status
- referring GP details
- health insurance
- preferred language and interpreter requirements
- Medicare number
- mobility needs.
- reason for referral
- details of the affected limb(s)
- duration of symptoms
- relevant pathology & imaging reports
- past medical history/previous cancer treatment
- any venous compromise of the affected area
- past episodes of cellulitis
- cardiac or venous compromise
- current medications
Investigations and results
- CT scans, lymphoscintigraphy
- cardiac & venous scans/investigations, CXR
- recent blood tests including FBE, LFT, U&E&CR, CLUC.
Populate required information on the lymphoedema referral form then print and fax to the relevant outpatient department on 03 8458 4205
Essential referral content will be checked. You will be contacted if further information is required. Acknowledgement of referral receipt will occur Within eight working days.
The referral will be triaged by the specialist unit according to clinical urgency.
This determines how long the patient will have to wait for an appointment.
Patients with urgent conditions are scheduled to be seen within 30 days.
Patients with routine conditions are given the next available appointment according to clinical need. Both the referrer and patient are notified.
Referral contact details
Mercy Health Department Lymphoedema
Level 3, 163 Studley Road
Heidelberg Vic 3084
Phone: 03 8458 4949
Fax 03 8458 4951
Clinics and services
Use these guidelines to refer patients for the following clinics and services:
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