Referrers

We are and adult (>~16 yo) epilepsy and first seizure clinic.

We will prioritise patients after a suspected first seizure to be seen as soon as possible.

All referrals will be triaged by a clinician, and if deemed inappropriate for Telehealth, and not possible for patient to travel to our clinic to be seen in person, we may ask the referring doctor to refer the patient to nearest appropriate neurology or epilepsy clinic.

You can send referrals to [email protected] or use one of the options below.

Medical Practitioners

Upload your Referral Form here

Drop files here or

Max. file size: 100 MB, Max. files: 3.

Alternatively, you can fill in the form below and it will be sent to us as a referral

Patient's name

Patient's D.O.B

Referral date

Best contact number

Patient's email address

Referring doctor's name

Provider number

Please describe the reason/s for referral

Include as much detail as possible. Please include past medical history, medications and any relevant investigations

Name

This field is for validation purposes and should be left unchanged.

43973

Patients

If you are patient and have a referral already from your doctor, you can upload the referral using the link below.