Referral Page for GPs, Specialists & Allied Health Professionals

Thank you for sending your patients for an orthopaedic opinion. This page provides a streamlined way for health professionals to generate a referral memo quickly and accurately.

You may copy the memo directly into your EMR system (e.g., Plato or Clinic Assist), download a PDF for your patient, or email it to us using the tools provided. The form is designed for completion in under one minute, with optional sections for red‑flag symptoms, imaging findings, and insurance details. All information entered on this page remains entirely on your device — nothing is stored, transmitted, or saved on our server. If you choose to email the memo to us, it will then be received and stored within our clinic’s secure email system.

For urgent matters: Please call the clinic directly for timely assistance.

For emergency situations: Please contact the Urgent Care Centre (UCC) at Gleneagles Hospital immediately. Full emergency contact details are available on our Contact Page.

GP / Specialist / Allied Health Referral Memo

Referring Doctor / Allied Health Name Referring Clinic Name Referring Clinic Address Referring Clinic Tel Patient Name Age Patient Contact Number Corporate Insurance Panel Red Flag Symptoms (optional) Clinical Summary Imaging (optional)