Referrals form


Please download the document below. This is a pdf document that you can fill in on your computer and save as you go. Alternatively you can print and complete in writing. 

Fill this form out online and send to this email address: hello@inspiro.org.au

Referral form

Referral checklist form

 

Referrel checklist


Information about our services

To find out more information on each of our services, click on the links below:

Dental Podiatry Physiotherapy Counselling
Dietetics Occupational therapy Exercise physiology Social support
Diabetes education Adult Speech pathology Children's speech pathology Family support
Children's occupational thereapy No interest loan scheme Population health Drug & alcohol services

Everyone can access our services

They are three ways to do this:

  1. MBS VIA CHRONIC DISEASE MANAGEMENT (CDM) CARE PLAN FOR PATIENTS WITH A CHRONIC OR TERMINAL MEDICAL CONDITION.
    All Health Care and Pensioner Concession card holders with a care plan are bulk billed with no out-of-pocket expenses.

  2. COMMUNITY HEALTH SERVICES

    Priority access is given to:

    • Pensioners or Health Care card holders and their dependants
    • school students up to 18 years of age (preschool-age only for paediatric OT and speech therapy)
    • Aboriginal and Torres Strait Islander people
    • refugees or asylum seekers
    • those who are homeless or at risk
    • registered clients of mental health or disability services
    • pregnant women (dental services and Health Mothers Healthy Babies only)

  3. PRIVATE SERVICES

    For everyone, including those with or without private health insurance. Fees apply..
    Yes, we welcome GP care plans, SCTT forms, online S2S forms and self referrals.

MOST OF OUR SERVICES ARE AVAILABLE AT BOTH OUR LILYDALE AND BELGRAVE SITES

PHONE: 9738 8801
FAX: 9739 4689
EMAIL: hello@inspiro.org.au
 

Minimum standard for referral

In order for Inspiro to provide the best care to patients, we have definded the minimum amount of information we need. Please include the following information when you refer to Inspiro.  Additional information is welcome.
 
REFERRAL TYPE GP REFERRALS
All
  • Reason for referral - why do you want this patient seen?
  • Relevant medical history
  • Current medications
  • Any risks/allergies/drug reactions
  • Any relevant social/family issues
Physiotherapy and Podiatry Plus any relevant scan or xray reports
Diabetes education and dietitian Plus
  •  HbA1c
  • Albumin to creatinine ration
  • Cholesterol
  • Fasting glucose/glucose tolerance test

Summary of our services

Please refer to the document available for download below.

Inspiro services summary 

To view a list of our services and group programs available please see the document below

Inspiro Service Listing

Fees

Please refer to the document available for download below.

Inspiro fees

Waitlists

Our public services currently have waiting lists. Your client may be eligible for priority access. Alternatively, our private, fee-paying services have no waiting lists.

Please call us on 9738 8801 to find out the fastest and most affordable way your client can access our services.



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