About
Conditions & Procedures
Cataract
Diabetes
Eyelid Plastic Surgery
Glaucoma
Macular Degeneration
Medical Retina
Pterygium
Useful Info
GPs
Contact
02 4578 0365
About
Conditions & Procedures
Cataract
Diabetes
Eyelid Plastic Surgery
Glaucoma
Macular Degeneration
Medical Retina
Pterygium
Useful Info
GPs
Contact
02 4578 0365
GP Referral
Title
*
Referring Doctor's Given Name
*
Referring Doctor's Surname
*
Provider Number
*
Practice Address
*
Practice Suburb
Practice Telephone
*
Referrer's Mobile
Practice Email Address
*
Patient's Given Name
*
Patient's Surname
*
Patient's DOB
*
Date Format: MM slash DD slash YYYY
Patient's Preferred Contact Number
*
Reason for Referral
*
Please call the rooms if you need to speak with Dr Singh.
Please ensure a referral letter, all relevant blood results and copies of scan films with reports are provided to your patient. Please also advise your patient to bring these along to their consultation.
