Make a referral

For GPs and other healthcare providers, referring your patients to EP Online is simple.

For relevant referrals send us a fax or email, or fill in the form below and we will contact the patient.

Please note, this section is for GPs and other healthcare providers only.

Confidential fax referrals: 08 8318 4803

Or contact us via:

Patient details

First Name

Last Name

Phone

(###)

###

####

Email

Referrer name

Clinic name

Relevant handover