Useful Management Information

  • In the majority of cases it is thought inappropriate for children to wait more than 6 months for an outpatient initial appointment
  • Referral from a health practitioner other than a General Paediatrician may be accepted if there is limited access to public Paediatric services in the patients’ local area
  • A change in patient circumstance (such as condition deteriorating) may affect the urgency categorisation and should be communicated as soon as possible.
  • Refer to Paediatrics Headache
  • Neuroimaging is not usually recommended when the neurological examination is normal. MRI is a more appropriate investigation than CT if imaging is required

Clinical Resources

Patient resources

Minimum Referral Criteria

Does your patient meet the minimum referral criteria?
Category 1 (appointment within 30 calendar days)
  • Recurrent hemiplegic migraine
Category 2 (appointment within 90 calendar days)
  • Idiopathic intracranial hypertension referred by a Paediatrician where there is diagnostic uncertainty that headache is due to IIH, failure of response to treatment and no visual impairment on perimetry (no indication for urgent neurosurgical shunting).
  • Migraine that has failed two (2) preventative medications
  • Missing significant amounts of school due to headaches
  • Suspicion of medication overuse
Category 3 (appointment within 365 calendar days)
  • No category 3 criteria

If your patient does not meet the minimum referral criteria

  • Assessment and management information may be found on a range of conditions at HealthPathways
  • If the patient does not meet the criteria for referral but the referring practitioner believes the patient requires specialist review, a clinical override may be requested:
    • Please explain why (e.g. warning signs or symptoms, clinical modifiers, uncertain about diagnosis, etc.)
  • Please note that your referral may not be accepted or may be redirected to another service

Essential Referral Information

  • Detailed history of headaches
    • how long has the patient been getting headaches?
    • what is their frequency and duration?
    • is the child missing school (how many days per month) or is normal daily activity limited?
  • is there associated symptoms (vomiting, light/sound sensitivity)?
  • BP (right arm, with appropriately sized cuff)
  • Current medication history, efficacy (including over-the-counter preparations)
  • Neurological examination including fundoscopy

Additional Referral Information

Highly desirable Information – may change triage category

  • Exacerbating and relieving factors
  • Reason for presentation at this time
  • Details of previous specialist assessment
  • Headache diary
  • If the child is in foster care, please provide the name and regional office for the Child Safety Officer who is the responsible case manager.

Desirable Information- will assist at consultation

  • Other past medical history
  • Immunisation history
  • Developmental history
  • Medication history
  • Significant psychosocial risk factors (especially parents mental health, family violence, housing and financial stress, department of child safety involvement)
  • Height/weight/head circumference and growth charts with prior measurements if available.
  • Other physical examination findings inclusive of CNS, birth marks or dysmorphology
  • Any relevant laboratory results or medical imaging reports, urinalysis result
    If neuroimaging has been done, arrange image transfer to PACS at the hospital the patient is being referred to, with the imaging reports. If electronic imaging transfer is not available, then a CD of the neuroimaging and report should be sent to the neurologist named in the referral
Last updated 7 October 2021

Send Referrals To

Smart Referrals

Preferred Method
About Smart Referrals

Secure Web Transfer

Send to: Gold Coast Health Service District

Internal Referrals

Paediatric Medicine (E-Blueslips)


(07) 5687 4497


Paediatric Referral Centre
Gold Coast University Hospital
1 Hospital Boulevard
Southport QLD 4215


1300 744 284

Related HealthPathways

No directly related pathways found

Service Availability

Dr Susan Moloney
Medical Director Paediatric Medicine (General Paediatrics)


Gold Coast University Hospital

If you would like to send a named referral, please address it to the specialist listed above, who will allocate a suitably qualified specialist to see the patient. Alternatively, you can view a full list of our specialists.

Child Safety

If you have a reason to suspect a child in Queensland is experiencing harm, or is at risk of experiencing harm, contact Department of Children, Youth Justice and Multicultural Services . Please consider if mandatory reporting applies.

Gold Coast Health - For Clinicians
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