Contact Name *

Contact name for appointment (usually parent/guardian).

First Name

Last Name

Patient Name *

First Name

Last Name

Paediatricians- Referrals addressed to

If their books are not closed, they will consider referrals personally addressed, and usually only if by Healthlink. 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 (under 5 or siblings of current patients))

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

Dr Lydia Kennedy or Neonatologist-for infants less than 2 years of age.

Dietitian-books open

Rachel George

Does (or will) 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 or uploaded here. Paediatrician referrals must be personally addressed to one paediatrician only (your GP can 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 name (or if to Dr Kennedy, it is addressed to her by her name or to a Neonatologist)

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 should be indicated 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.