Instructions For Referrers
Electronic Referral Form
- Click on the Electronic referral form for Podiatric surgery 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 firstname.lastname@example.org as your referral.
Standard Referral Form
- Click on the Standard referral form for Podiatric surgery to download it to your computer.
- Print the standard referral form and write information into each section. Then scan the complete referral ready for emailing or fax it to Dr Hermann as described below.
- Once the referral form has been completed it should be emailed to email@example.com or faxed to 08 834166662. Give a copy of the referral for the patient to bring to their appointment
Web Referral Form
Try Our Web Referral Form