If you want to refer a patient to us for care, make sure to include all required and requested information in your referral. This allows us to review and triage your request as efficiently as possible.

You can download our referral form or use a template from your own system:

The RMH referral form (327KB - pdf document)
In the interests of providing timely care, please note that the practitioner named on your patient’s referral may not be the same practitioner who provides care at the RMH.

Include in every referral

As outlined by the Department of Health, referral requests should include:

  • Patient demographic information
  • Referrer demographic information
  • Reason for referral
  • Presenting problem
  • Service(s) requested
  • Required referral information specified by statewide or local referral criteria
  • Current patient management
  • Impact of the problem on the patient
  • Name of the consultant and provider number (for Medicare clinics)
  • Investigation reports related to the referral

Other requested information

Some services may request other information to complete the referral, such as imaging scans or pathology test results.

Check the referral instructions on the specific service or clinic page for details.

Named referrals

Referrals to the RMH must be directed to a preferred doctor or practitioner. This is a requirement for Medicare.

We have included our heads of department in the 'Department' drop-down in our standard referral form (PDF) to make this easier. Alternatively, you can name a different practitioner from our list of RMH doctors and write it in the 'Practitioner's name' field.

Please note that the practitioner named on your patient’s referral may not be the same practitioner who provides care at the RMH.

Incomplete referrals

We will send you a letter if a referral doesn't include all the information we need.

You can then submit another referral with all the updated information.

Contact us
Referrals
We do not accept email referrals
Phone
(03) 9139 4770
Referral Information Line
Fax
(03) 9342 4234
Referrals for Specialist Clinics
GP Liaison
Mon and Thu 9am-5pm
Email
gpliaison@mh.org.au
No referrals
Address
The RMH Royal Park
34-54 Poplar Rd, Parkville, Victoria
Last updated 15 September 2026