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.
- clinic specialty
- reason for referral
- duration of symptoms
- required investigation results
- examination findings
- relevant past history
- current medications
- past surgery (if available
operation notes or
Investigations and results
- recent pap smears
- pelvic ultrasound (if available)
- bladder diary for three days.
Please address the referral to either Doctor Lore Schierlitz or Doctor Kris Cvach Urogynaecology Clinic and fax to the Outpatient Department on 03 8754 6710.
Essential referral content will be checked. You
will be contacted if further information is
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
Both the referrer and patient are notified.
Immediate assessment criteria
Immediate assessment or admission criteria (not an exhaustive list)
Step 1: Check criteria for immediate assessment or admission.
- ovarian cyst with raised tumour markers
- acute abdominal/ pelvic pain not been investigated
- urgent voiding difficulties
- urgent prolapse requiring surgical intervention.
Step 2: Contact the Emergency Department Admitting Officer (AO) via the switchboard: 03 8754 3000.
Step 3: Follow up your phone call by faxing a referral to the emergency department including all relevant investigations to the number the AO provide.
Reason and Required Investigations (essential with referral)
Uterine and vaginal prolapse
- recent Pap Smear.
Pelvic floor disorder including pelvic organ prolapse
- recent FBE;U&Es.
Bladder pain/Interstitial cystitis/urethral syndrome (any difficulties with passing urine to be referred to the emergency department)
- recent PAP smear including STD screening
- recent pelvic ultrasound.
Urinary Irritation symptoms including recurrent UTI’s
- recent MSU
- recent FBE;U&Es
- renal ultrasound.
Urinary incontinence including stress and urge
- recent EFT U&Es MSU for MCS
- bladder diary 30 day
- consider bladder scan
- renal ultrasound.
Failed previous surgery for incontinence
- discharge summary of operation if not conducted at Werribee Mercy.
Exclusion Criteria: Urogynaecology Clinics
The following conditions are not routinely seen at Werribee Mercy Hospital:
- patients that are being treated for the same condition at another Victorian Public Hospital.
Referral contact details
Werribee Mercy Hospital
300 Princes Highway
Werribee Vic 3030
Phone 03 8754 6700
Fax: 03 8454 6710
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