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OneCare Cardiology

Upload Patient Referral

General Practitioners and healthcare providers can securely submit patient referrals online. Complete the form below and attach the referral document for prompt review by our cardiology team.

Complete the secure form below and attach the referral document. Do not use this form for emergencies.

1 Patient Details

Please provide patient name.
Please provide a contact number.
Please provide the patient address.
Please provide the patient date of birth.
2 Main Reason for Referral

Please select at least one main reason for referral.

3 Cardiac Investigation Required

Please select at least one cardiac investigation.

4 Medications

5 Referring Doctor

Please provide the referring doctor name.
Please provide the referring doctor signature.
Please provide the provider number.
Please provide the referring doctor phone.
Please provide the referral date.

6. Referral Document

Attach a clear referral document for secure submission.

Accepted formats: PDF, JPG, JPEG, PNG Maximum file size: 10 MB
Please attach the referral document.

Consent is required.

Referral pathway

Referral Process

Step 1

Complete the referral form.

Step 2

Attach the referral document.

Step 3

Submit the referral online.

Step 4

Our team will contact the patient to arrange an appointment.

Appointments

Ready to take the next step?

Request a cardiology appointment or upload your referral for the clinic team to review. Urgent referrals should be discussed with the clinic directly.

Request an AppointmentUpload Referral