Home > Professional Hub > Referral Forms
Referral Forms
Refer your patients
Referral forms for health professionals
Refer your patients to Diabetes WA’s clinic, telehealth and group education services using the forms below. If you use Best Practice, our referral forms are now in your Supplied templates, so you can complete a referral from within the patient’s file.
Using other clinical software? Download the relevant form and upload it as usual.
Diabetes WA clinic
One-on-one clinical appointments with credentialled diabetes educators and dietitians are available for your patients. These appointments are eligible for the Medicare rebate under the GPMP and TCA.
Return completed form to Email: clinic@diabeteswa.com.au | Phone: 08 9436 6290 | Fax: (08) 9221 1183
Telehealth for country WA
Diabetes Telehealth – individual consultations for people with all types of diabetes where local diabetes services are unavailable.
Telephone referrals: 1300 001 880 | Fax referrals: (08) 9221 1183 | Email: telehealth@diabeteswa.com.au
Telehealth Endocrinology Service – endocrinology support for those in regional and remote Western Australia.
Group self-management programs
All our programs are funded by the NDSS, at no cost to the consumer and sit outside the Medicare Benefits Schedule.
More information on each program can be found Programs and Education.
