Useful Management Information

  • Use BMI charts to monitor growth. Interpretation of BMI values in children and adolescents aged 2–18 years is based on sex-specific BMI percentile charts
    • Ensure that the same chart is used over time to allow for consistent monitoring of growth.
  • Growth of children less than 2 years of age is monitored using World Health Organization (WHO) growth charts. (Australian practice)
  • While waist circumference may not have a place in screening for overweight and obesity in children and adolescents, a waist circumference that is greater than half the height suggests a need for a more thorough weight assessment.
  • Consider the involvement of other professionals (e.g. aboriginal health worker, multicultural health worker, interpreter) to facilitate communication
  • 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
  • In the majority of cases, it is thought inappropriate for children to wait more than 6 months for an outpatient initial appointment

Minimum Referral Criteria

Does your patient meet the minimum referral criteria?
Category 1 (appointment within 30 calendar days)
  • Hypertensive > 95% for age with appropriate size cuff (BP centile by age and height)
  • Type 2 diabetes
  • Severe obstruction in sleep with repeated arousals and distress
Category 2 (appointment within 90 calendar days)
  • An underlying medical or endocrine cause is suspected, or there are concerns about height and growth velocity
  • Obese children < 6 years
  • Other symptomatic obesity including obstructive sleep apnoea, hip or knee pain, high levels of psychological distress about weight
  • Signs of insulin resistance
Category 3 (appointment within 365 calendar days)
  • Obese children > 6 years

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

  • Current height and weight, and include date of measurement
  • Fasting glucose insulin U&E LFT FBC iron studies CRP TFT results
  • Report presence or absence of concerning features
    • Significant obstruction in sleep with repeated arousals and distress
    • Type 2 diabetes (random glucose > 11 or fasting >7.0)
    • Recent rapid change in weight (gain or loss)
    • Hypertension >95 centile for age with appropriate size cuff

Additional Referral Information

Highly desirable information – may change triage category

  • History of obesity-related burden of disease – sleep disturbance, exercise limitation, orthopaedic pain, psychological disturbance
  • Height/weight/head circumference and growth charts with prior measurements if available
  • Diet history including if:
    • the child has a very restricted diet, or specific dietary restrictions (refer to a dietitian)
    • extreme weight loss behaviours, signs of eating disorders, high level of negative body image and/or negative social experiences are evident (refer to psychological services)

Desirable Information- will assist at consultation

  • Assessment of parental obesity and other family history
  • Other past medical history
  • Pregnancy and birth history
  • Immunisation history
  • Developmental history
  • Medication history
  • Allergies
  • Significant psychosocial risk factors (especially parents mental health, family violence, housing and financial stress, department of child safety involvement)
  • Other physical examination findings inclusive of CNS, birth marks or dysmorphology
  • Any other relevant laboratory results or medical imaging reports
Last updated 25 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


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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