Referral Form for Podiatric Surgery
Instructions for Referers
Electronic referral form
- Click on the electronic referral form to download it to your computer.
- Keep a copy of the electronic referral form on your Desktop so you can easily copy and paste information from you notes into the various sections of the form. There is a drop down menu for the patient's conditions and you can manually type information in by first clicking on each of the sections.
- Save the completed form so you can keep a copy for your records. Then email it to rhermann@footandankle.com.au as your referral.
Or
Standard referral form
- Print the standard referral from and hand write information into each section. This can then be scanned and emailed to rhermann@footandankle.com.au
- You can fax either form to 07 3054 3131 (be sure to include the 07 as it will come directly to Dr Hermann's email via your fax).