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Heart of Melbourne

Download REFERRALs and Templates

1300 122 888

PRINTABLE PDF FORMS

Referral HoM A4 213x300 WEB.jpg

GENERAL REFERRAL (CARDIOLOGY & CT)

HoM general referral in A4 size for hand filled and printed referrals

Referral Chest Pain Clinic WEB.jpg

CHEST PAIN CLINIC
REFERRAL

For urgent referrals to the Rapid Access Chest Pain Clinic (RACPC)

ELECTRONIC TEMPLATES

Electronic HoM referral template for Best Practice.

 

Instructions to import

Electronic HoM referral template for Medical Director.

Instructions to import

REQUEST REFERRAL FORMS

Please post me the following Heart of Melbourne referral forms:

Thank you! We will post the items soon.

Request Referral Forms
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© Heart of Melbourne Pty Ltd

ABN: 43 651 542 979

CONTACT US

Head Office

149 Stud Road

Wantirna South 3152

(Other locations below)

Opening Hours

Monday – Friday

08:00 AM – 17:00 PM

(Saturday - by appointment only)

Email

Website

Telephone

Fax

Argus

hom.com.au

1300 122 888

03 8080 0766

HealthLink

heartmel

LOCATIONS

WANTIRNA SOUTH

149 Stud Road

Wantirna South 3152

GLEN WAVERLEY

499 Springvale Road

(Located at the back of Victorian Rehabilitation Centre, accessible from the slip lane of Springvale Road)

FAWKNER

1348 Sydney Road

Fawkner 3060

LILYDALE (EPWORTH)

Suite 4, 355 Main Street

Lilydale 3140

KNOX PRIVATE HOSPITAL

Consulting Suite 5a, 262 Mountain Highway, Wantirna 3152

BORONIA

157 Scoresby Road

Boronia 3155

BACCHUS MARSH

91 Gisborne Road

Bacchus Marsh 3340

SURREY HILLS

203 Union Road

Surrey Hills 3127

BERWICK

32A Clyde Road

Berwick 3086

LILYDALE

108 Main Street

Lilydale 3140

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