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
- Referring GP details
- Preferred language and interpreter requirements
- Medicare number
- Mobility needs
- Presenting problem
- Length of time since onset
- Associated symptoms
- Result of vaginal assessment
- Obstetric/gynaecological/surgical history
- Additional needs e.g. mobility issues
- List of current medications
- Any treatments already attempted
Investigations and results
- Most recent pap smear
- MSU most recent result (if not done, please inform us)
Populate required information on the referral form then print and fax to 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.
Please be advised that referrals are triaged and the waiting list for non-urgent patients can be as long as three to nine months. Upon receipt of an accepted referral, the patient will be placed on the waiting list and receive an acknowledgement letter in the mail. The patient will then be contacted for an appointment in due course.
Immediate assessment criteria
The clinical information provided in your referral will determine the triage category. The triage category will affect the timeframe in which the patient is offered an appointment.
Urgent: Within 30 days
Routine: Longer than 30 days depending on clinical need
The role of the specialist clinic is to diagnose the condition (or to confirm the diagnosis already made by the GP) and to formulate a treatment plan. This may include allied health input, diagnostic testing, conservative management or surgical intervention. It will also include a plan for any ongoing GP input. It is expected that any patient being referred for symptoms or a diagnosis of a prolapse will have had a vaginal examination completed by the GP at the time of the referral.
Referral contact details
Mercy Health Department of Urogynaecology
163 Studley Road
Phone: 03 8458 4500
Fax: 03 8458 4205
Clinics and services
Use these guidelines to refer patients for the following clinics and services:
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