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New cancer referrals are seen within 7-14 days.
Waiting times from receiving a referral to clinic review is currently 2-4 weeks.
Waiting times from clinic review to theatre is currently 2-4 weeks for most patients.

Referral Form

Patient details

Name

Email

Phone (Home)

Mobile

Date of Birth

Address

Postal Code

Address Line 2

City

State

Private insurance

Yes No

Doctor details

Referring Doctor

Referrer Phone Number

Referrer Provider Number

Referrer Email

Referrer Phone Number

Please phone me to discuss this case

Referral details

Treatment Request

Attach patient investigations, reference materials or referral letter here

File 1

File 2

File 3

File 4

File 5

File 6

In the spirit of reconciliation, we acknowledge the Larrakia people, Traditional Custodians of
the land where we work and operate. We pay respects to their Elders, past, present, and
emerging, and extend that respect to all Aboriginal and Torres Strait Islanders.

Dr. Tara Luck

Dr. Tara Luck

Doctors

For Doctors

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Referral Form

Dr. Tara Luck