A nurse practitioner can receive a referral from any health care professional, family member or the self referrals are accepted.  If the referral is not from the person themselves consent of the patient or their person responsible must be gained prior to any care provided.

How to make a referral

Complete and submit the form at the bottom of this page begin the process of making a referral.

Please include the following information relating to the person being referred to our services:

  1. Full name of person.
  2. DOB.
  3. Contact details (telephone number and address).
  4. Medicare Number
  5. Reason for Referral
  6. Diagnosis
  7. Mark whether referral is urgent (must be seen in the next seven days) or routine (within the next few weeks).

The team at My Nurse Practitioners thanks you for collaborating with us. If you have any questions regarding our services please contact us using the button below.


E-Referral Form: