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Emergency Referrals

Useful Management Information

No useful management information

Minimum Referral Criteria

Does your patient meet the minimum referral criteria?

Category 1 (appointment within 30 calendar days)	Intervention within 3-5 working days Hospital discharges following an acute admission where there is a moderate to high risk of readmission or requires intervention to prevent rapid deterioration in health status and/or physical functioning Post-acute orthopedic referrals e.g. THR/TKR, MUA, #NOF, #NOH, ACL, Rot cuff repair Post-acute neurosurgical referral Acute respiratory conditions requiring urgent intervention Intervention within 6-14 working days Non urgent post-acute referrals Post inpatient / outpatient rehab admission, i.e., progression exercises / HEP Recent cortisone injection Progression mobility High falls risk Musculoskeletal pain / injury past 6 weeks Risk of adverse outcome if intervention not provided in 2 weeks Vestibular referrals Intervention within 15-29 working days Recent diagnosis or exacerbation of neurological condition Moderate falls risk Soft tissue injury / pain > 6 weeks Breathing pattern disorders
Category 2 (appointment within 90 calendar days)	No category 2 criteria
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

Standard Referral Information

Reason for request

To establish a diagnosis
For treatment or intervention
For advice and management
For specialist to take over management
Reassurance for GP/second opinion
For a specified test/investigation the GP can't order, or the patient can't afford or access
Reassurance for the patient/family
For other reason (e.g. rapidly accelerating disease progression)
Clinical judgement indicates a referral for specialist review is necessary

Relevant clinical information about the condition

Presenting symptoms (evolution and duration)
Physical findings
Details of previous treatment (including systemic and topical medications prescribed) including the course and outcome of the treatment
All conservative options that have been pursued unsuccessfully prior to referral
Body mass index (BMI)
Details of any associated medical conditions which may affect the condition or its treatment (e.g. diabetes), noting these must be stable and controlled prior to referral
Any special care requirements where relevant (e.g tracheostomy in place, oxygen required)
Current medications and dosages
Drug allergies
Alcohol, tobacco and other drugs use

Patient's Demographic Details

Full name (including aliases)
Date and country of birth
Residential and postal address including whether patient resides at an aged care facility
Telephone contact number/s – home, mobile and alternative
Medicare number (where eligible)
Name of the parent or caregiver (if appropriate)
Name of delegate and contact details (Department of Corrective Services)
Preferred language and interpreter requirements
Identifies as Aboriginal and/or Torres Strait Islander
Any special needs, access requirements and/or disability relevant to the referral

Referring Practitioner Details

Full name
Full address
Contact details – telephone, fax, email
Provider number
Date of referral
Signature
Nominated general practitioner’s details (if known), if the nominated general practitioner is different from the referring practitioner

Other relevant information

Willingness to have surgery (where surgery is a likely intervention)
Choice to be treated as a public or private patient
Compensable status (e.g. DVA, Work Cover, Motor Vehicle Insurance, etc.)

Essential Referral Information

Patient Consent to referral
Reason for Referral
Name of Patients Consultant (where relevant)
Relevant medical history pertaining to condition
Comorbidities impacting on condition
If Orthopaedic – Current weight bearing status / Plan of weight bearing status, (e.g. TWB for 4/52, then PWB for 2/52 etc.)
Medically or Specialist determined restrictions of movement or function
Relevant Xray’s, Scan/Imaging reports
Relevant Current Medication list
Allergies and Adverse Reactions
Social History
Do you have any concerns regarding the patient exercising?
List of all health care providers involved in patient care – including public and provide providers

Additional Referral Information

Previous level of function
For disordered breathing, cardiac and respiratory investigations to be provided
Post-Acute – recent discharge from hospital, deconditioned post hospitalisation
Post op rehab– identify op / date of op, mobility
Acute musculoskeletal issues
Falls, falls prevention, dizziness/balance impairment, non complex vestibular disorders
Neurological impairment impacting on mobility/ function
Respiratory conditions (including secretion clearance strategies and disordered breathing)

Send Referrals To

Smart Referrals

Preferred Method
About Smart Referrals

Secure Web Transfer

Send to: Gold Coast Health Service District

Internal Referrals

Not Available

Fax

(07) 5687 4497

Post

Gold Coast University Hospital
1 Hospital Boulevard
Southport QLD 4215

Enquiries

1300 559 083

Related HealthPathways

No directly related pathways found

HealthPathways home page

Service Availability

Dr Ben Chen

Facilities

Helensvale Community Health Centre

Robina Health Precinct

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.

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