Useful Management Information
- Neuroimaging is not usually recommended when the neurological examination is normal. MRI is a more appropriate investigation than CT if imaging is required
- In the majority of cases it is thought inappropriate for children to wait more than 6 months for an outpatient initial appointment
- If you have a reason to suspect a child in Queensland is experiencing harm, or is at risk of experiencing harm, you need to contact Child Safety Services
Minimum Referral Criteria
|Category 1 (appointment within 30 calendar days)|
|Category 2 (appointment within 90 calendar days)|
|Category 3 (appointment within 365 calendar days)|
If your patient does not meet the minimum referral criteria
Essential Referral Information
- Detailed history of headaches
- how long has the patient been getting headaches?
- what is their frequency and duration?
- BP (right arm, with appropriate sized cuff)
- Report presence or absence of concerning features
- Change in mood, mental status or school performance since the onset of the headaches
- Headaches usually present on waking or wake the child in the early morning
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
- Burden of disease:
- are there associated symptoms (vomiting, behaviour change)?
- is the child missing school? how many days missed in the last month?
- is the headache affecting sleep?
- other information to assess the burden of the symptom
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
Send Referrals To
About Smart Referrals
Secure Web Transfer
Send to: Gold Coast Health Service District
Paediatric Medicine (E-Blueslips)
Paediatric Referral Centre
Gold Coast University Hospital
1 Hospital Boulevard
Southport QLD 4215
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.
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.