Contact Name
*
Contact name for appointment (usually parent/guardian).
First Name
Last Name
Relation to Patient
*
Phone Number
*
Patient Name
*
First Name
Last Name
Patient's DOB
*
Paediatrician Referrals
If their books are not closed, they will only consider referrals sent by Secure Messaging. They have limited capacity and can only accept a very few, at their professional discretion.
A Paediatrician (not personally named)-we recommend a named referral as unnamed referrals may not be be considered by associated paediatricians.
Dr Brian Conway
Dr Thu Kent
Dr Rishi Agrawal
Dr Kavita Rasiah .
Dr Marianne Yanni
Dr Jane Smith
Dr Rebecca Holst
To "Prosper Paediatrics" or "Doctor " -This is an invalid referral. To be valid, the referral must be addressed to a specialist personally named or to a particular type of Specialist (eg Paediatrician or Neurologist, Neonatalogist).
Neonatologist Referral
Dr Lydia Kennedy -for infants less than 2 years of age.
Paediatric Neurologist Referral
Dr Romain Briest
Dietitian-books open
Rachel George
Reason/s for Appointment (optional)
Briefly outline your reason/s for seeking this appointment (please limit confidential information)
Does the referral meet requirements?
*
A referral must be valid. We also strongly recommend it be sent by Secure Messaging, or if not possible, to the admin email. It can also be uploaded here. We strongly recommend that paediatrician referrals are personally addressed to one paediatrician only (your GP cans send several referral letters).
Please confirm that you have checked the referral and with your GP, and can confirm:
The referral is addressed to a specific doctor identified by their specialy or their name
You have asked your referrer to send by Healthlink.
The referral provides a detailed clinical reason for the referral.
The referral is dated and shows my referrer's name and provider number.
The referral is personally signed by your referrer (unless they send it by Healthlink).
I have read and agree to the following policies:
*
Privacy
Respect & Trust
Communication & Contact incuding use of email as a primary means of communication to me about new patient inquiry, intake and bookings and use of SMS alerts as an adjunct to this and in relation to the intake request.
My responsibility to understand and agree to policies published on this website (Policies menu) and advised in Prosper Paediatrics' other written communication to me if proceeding with this request.
I understand the following regarding my child’s referral
*
Your understanding shoudl be inidcated for all the following:
The referral will be reviewed by the named paediatric specialist using their professional discretion, to assess whether it can be accepted given current wait times, capacity, and practice scope
The referral may be declined and an appointment will not be offered
The referral may be accepted but there may be a long wait for an appointment
An appointment may be booked but later cancelled due to unforseen changes in the provider's capacity to provide healthcare services in their associated practice.
The referral may be triaged, at the doctor's professional discretion, as a lower priority for the offer of earlier appointments relative to other accepted referrals.
If the referral is invalid or unnamed or is sent to a doctor whose books are closed, the referral may be returned without consideration and I should then follow up with my referrer.
Thank you for requesting an appointment. Our reception staff will be in touch with you shortly.
If you are requesting an urgent appointment, please phone us on 8332 3778.
For emergencies, please go to your local emergency department or the Women's & Children's Hospital, or contact your GP.