Patient Referral Form

Refer your patients to Mindscape Psychiatry for expert telehealth psychiatric care across Australia.

How to Refer

Referrals can be sent via Medical-Objects, Argus, HealthLink, or ReferralNet. Alternatively, you can fax or email the referral directly.

What to Include

  • Patient's full name, date of birth, and contact details
  • Medicare number and referring GP details
  • Reason for referral and relevant clinical history
  • Current medications and any previous psychiatric treatment

Send Your Referral

PDF or images up to 10MB

By submitting this form, you consent to Mindscape Psychiatry collecting and using your information to process your referral and provide healthcare services. Your information is stored securely in Australia. See our Privacy Policy.