GP referral form
To refer your patient for a specialist appointment within 72 hours, download our referral form and contact our pancreatic nurse coordinator.
For further information:
Phone: 03 9426 8880
Fax: 03 9429 4947
Email: [email protected]
How to refer your patient:
The Centre’s dedicated pancreatic nurse coordinator is available to discuss your patient’s individual situation and introduce our specialists. Please phone (03) 9426 8880 or email at [email protected]
- Download and fill out a referral using one of the below methods:
- fillable PDF referral form (PDF, 167KB)
- RTF referral form (RTF, 251KB)
- your practice management software.
- Email or fax the referral to our pancreatic nurse coordinator.
- Your patient will be contacted by phone and have an appointment with a specialist within 72 hours of referral.
You can refer for suspected pancreatic cancer/investigations with no imaging, as an Epworth gastroenterologist will coordinate and carry out initial testing, if required. If there is relevant imaging, please attach as this will inform triage to a gastroenterologist, surgeon or oncologist.
You can refer to the Jreissati Pancreatic Centre at Epworth for:
- suspected pancreatic cancer
- treatment, including surgery
- second opinion
- clinical trials.
Our specialists and locations
Through the Jreissati Pancreatic Centre at Epworth, patients have direct access to specialists across Melbourne and Geelong.
Epworth Eastern (Box Hill)
- Mr Daniel Croagh, Surgeon
- Dr Prasad Cooray, Medical Oncologist
- Dr Bronte Holt, Gastroenterologist
- A/Prof Joseph McKendrick, Medical Oncologist
- Mr Akhtar Sayed-Hassen, Surgeon
- Mr Tuck Yong, Surgeon
- A/Prof Rachel Wong, Medical Oncologist
Epworth Freemasons (East Melbourne)
- A/Prof Sumitra Ananda, Medical Oncologist
- Mr Brett Knowles, Surgeon
- Dr Ayesha Saqib, Medical Oncologist
Epworth Geelong
- Dr Saleh Abbas, Surgeon
- Dr Adam Broad, Medical Oncologist
- Dr Shu Fen Wong, Medical Oncologist
Epworth Richmond
- Mr Julian Choi, Surgeon
- Mr Mark Cullinan, Surgeon
- Dr Rowan Doig, Medical Oncologist
- Dr Ross Jennens, Medical Oncologist
- Mr Brett Knowles, Surgeon
- Dr Sem Liew, Medical Oncologist
- Dr Dileep Mangira, Gastroenterologist
- A/Prof Andrew Metz, Gastroenterologist
- A/Prof Alan Moss, Gastroenterologist
- Dr Ayesha Saqib, Medical Oncologist
- Dr Bhaumik Shah, Medical Oncologist
- Mr Mark Steven, Surgeon
- Dr Peter Tagkalidis, Gastroenterologist
- Dr Yen Tran, Medical Oncologist
- Mr Tuck Yong, Surgeon
- Dr Allan Zimet, Medical Oncologist