GP referral form
To refer your patient to the Jreissati Family Pancreatic Centre at Epworth, download our referral form and return it to our pancreatic nurse coordinator.
For further information:
Phone: 03 9426 8880
Fax: 03 9429 4947
Email: [email protected]
To refer your patient to the Jreissati Family Pancreatic Centre at Epworth, download our referral form (PDF, 163KB). We also have an RTF version (RTF, 250KB) that can be used with your practice management software. Please email or fax the back to our pancreatic nurse coordinator once completed.
If you have any questions about the Jreissati Family Pancreatic Centre at Epworth, or would like to know more about our services, please contact our pancreatic nurse coordinator on (03) 9426 8880 or email at [email protected]
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