Request for outpatient appointment (MR15)
Download document
PDF 61 KB
Statewide standard outpatient referral form request for outpatient appointment
The Southern Adelaide Local Health Network (SALHN) provide a range of specialist and outpatient services for patients within the Southern Adelaide and greater Adelaide regions as well as country and interstate patients.
Locations include Flinders Medical Centre, Noarlunga Hospital, The Jamie Larcombe Centre and GP Plus Health Care Centres (Aldinga, Marion and Noarlunga).
Where to send your referral?
Referrals to SALHN outpatient services should to be faxed to the relevant specialty to minimise triaging delays. See the Outpatient Clinic and Community Services contact details in SALHN (PDF 58KB) to find the fax number for a given SALHN specialty.
GP referral information
Note: Some SALHN specialities have transitioned to the statewide Clinical Prioritisation Criteria (CPC) referral guidelines.
See below GP management guidelines related to certain conditions or symptoms.
- Referral guidelines, see the statewide Clinical Prioritisation Criteria (CPC) for a list of referral guidelines
- Referral form
- Referral guideline, see Audiology outpatient service description and triage guideline (PDF 110KB)
- Referral guidelines, see the statewide Clinical Prioritisation Criteria (CPC) for a list of referral guidelines. See also SALHN specific referral guidelines below:
- Referral guidelines, see the statewide Clinical Prioritisation Criteria for a list of referral guidelines
- Referral guidelines, see the statewide Clinical Prioritisation Criteria for a list of referral guidelines
- See endocrinology
- Referral guidelines, see the statewide Clinical Prioritisation Criteria for a list of referral guidelines
- Referral guidelines, see the statewide Clinical Prioritisation Criteria for a list of referral guidelines. See also SALHN specific referral guideline below:
- Referral guidelines, see the statewide Clinical Prioritisation Criteria for a list of referral guidelines
- Referral guidelines, see the statewide Clinical Prioritisation Criteria for a list of referral guidelines. See also SALHN specific referral guideline below:
- Referral guidelines, see the statewide Clinical Prioritisation Criteria for a list of referral guidelines
- Referral guidelines, see the SALHN specific referral guidelines:
- Geriatric Medicine outpatient service description and triage guideline (PDF 91KB)
- Behavioural and Psychological symptoms in Dementia referral and management guideline (PDF 109KB)
- Community Geriatric Service referral and management guideline (PDF 91KB)
- Memory Clinic referral and management guideline (PDF 89KB)
- Nursing home visits referral and management guideline (PDF 111KB)
- Parkinson’s referral and management guideline (PDF 88KB)
- Syncope tilt table referral and management guideline (PDF 113KB)
- Falls referral and management guideline (PDF 93KB)
- Referral guidelines, see the statewide Clinical Prioritisation Criteria for a list of referral guidelines
- Referral guidelines, see the SALHN specific referral guidelines:
- Haematology outpatient service description and triage guideline (PDF 108KB)
- Anaemia referral and management guideline (PDF 117KB)
- Chronic Lymphocytic Leukaemia (CLL) referral and management guideline (PDF 91KB)
- Monoclonal Gammopathy of Unknown Significance (MGUS) referral and management guideline (PDF 114KB)
- Neutropenia referral and management guideline (PDF 133KB)
- Thrombocytopenia referral and management guideline (PDF 90KB)
- Referral guidelines, see the statewide Clinical Prioritisation Criteria for a list of referral guidelines
- Referral guidelines, see the statewide Clinical Prioritisation Criteria for a list of referral guidelines. See also SALHN specific referral guidelines below:
- Referral guidelines, see the statewide Clinical Prioritisation Criteria for a list of referral guidelines
- Referral guidelines, see the statewide Clinical Prioritisation Criteria for a list of referral guidelines
- Referral guidelines, see the statewide Clinical Prioritisation Criteria for a list of referral guidelines. See also SALHN specific referral guideline below:
- Referral guidelines, see the statewide Clinical Prioritisation Criteria for a list of referral guidelines
- Referral guidelines, see the SALHN specific referral guidelines:
- Referral guidelines, see the SALHN specific referral guidelines:
- Referral guidelines, see the statewide Clinical Prioritisation Criteria for a list of referral guidelines
- Referral guidelines, see the SALHN specific referral guidelines:
- Oncology outpatient service description and triage guideline (PDF 130KB)
- Breast Cancer referral and management guideline (PDF 113KB)
- Carcinoma Unknown Primary referral and management guideline (PDF 115KB)
- Colon Cancer referral and management guideline (PDF 111KB)
- Lung Cancer referral and management guideline (PDF 113KB)
- Prostate Cancer referral and management guideline (PDF 131KB)
- Upper GI referral and management guideline (PDF 109KB)
- Referral guidelines, see the statewide Clinical Prioritisation Criteria for a list of referral guidelines
- Referral guidelines, see the statewide Clinical Prioritisation Criteria for a list of referral guidelines
- Referral guidelines, see the statewide Clinical Prioritisation Criteria for a list of referral guidelines
- Referral guidelines, see thestatewide Clinical Prioritisation Criteria for a list of referral guidelines
- Referral guidelines, see the statewide Clinical Prioritisation Criteria (CPC) for a list of referral guidelines
- Referral form Pain Management Unit referral form (PDF 79KB)
- Consumer information Pain Management Unit patient information
- Referral guidelines, see the SALHN specific referral guidelines:
- Referral guidelines, see the SALHN specific referral guidelines:
- Referral guidelines, see the statewide Clinical Prioritisation Criteria for a list of referral guidelines
- Referral guidelines, see the SALHN specific referral guidelines:
- Referral guidelines, see the SALHN specific referral guidelines:
- Disability Assessment and Planning referral and management guideline (PDF 90KB)
- Driving Fitness Assessment referral and management guideline (PDF 86KB)
- Fragility Fracture referral and management guideline (PDF 88KB)
- Musculoskeletal Rehabilitation referral and management guideline (PDF 87KB)
- Neurological Rehabilitation referral and management guideline (PDF 91KB)
- Spasticity referral and management guideline (PDF 91KB)
- Referral guidelines, see the statewide Clinical Prioritisation Criteria for a list of referral guidelines. See also SALHN specific referral guidelines below:
- Respiratory and Sleep Services outpatient service description and triage guideline (PDF 128KB)
- Asthma referral and management guideline (PDF 88KB)
- Chronic cough referral and management guideline (PDF 90KB)
- Chronic Respiratory and Bronchiectasis referral and management guideline (PDF 89KB)
- Haemoptysis referral and management guideline (PDF 92KB)
- Interstitial Lung disease referral and management guideline (PDF 91KB)
- Lung Cancer referral and management guideline (PDF 118KB)
- Pleural Disease referral and management guideline (PDF 90KB)
- Pulmonary Embolus referral and management guideline (PDF 89KB)
- Pulmonary Rehabilitation referral form (92KB)
- Sleep Apnoea referral and management guideline (PDF 115KB)
- Tuberculosis referral and management guideline (PDF 89KB)
- Referral guidelines, see the statewide Clinical Prioritisation Criteria for a list of referral guidelines.
- Referral guidelines, see the SALHN specific referral guidelines:
- Referral guidelines, see the SALHN specific referral guidelines:
- Adult Speech Pathology outpatient service description and triage guideline (PDF 129KB)
- Paediatric Speech Pathology outpatient service description and triage guideline (PDF 131KB)
- Communication referral and management guideline (PDF 86KB)
- Feeding Disorders (Paediatric) referral and management guideline (PDF 91KB)
- Swallowing referral and management guideline (PDF 105KB)
- See neurology
- Referral guidelines, see the statewide Clinical Prioritisation Criteria for a list of referral guidelines
- Referral guidelines, see the statewide Clinical Prioritisation Criteria for a list of referral guidelines
- Referral guidelines, see the statewide Clinical Prioritisation Criteria for a list of referral guidelines