GP Online Referral Form

Refer your Patients to Narangba Station Medical Centre

At Narangba Station Medical Centre, experienced doctors provide a wide range of general practitioner services. Complete the online form below to refer your patient to Narangba Station Medical Centre. After receiving your referral, we will contact your patient directly.

For urgent cases, contact the practice on 07 3521 4333.

"*" indicates required fields

Patient Details

Patient Details*

Title First Last

Date of Birth

Phone Number

Email Address

Current Medications

Referral Information

Reason for Referral

Plant-based medicine

WorkCover

Anxiety

Post-traumatic stress disorder (PTSD)

Perimenopause or Menopause

Iron Infusion

Other

Provide referral reason

Clinical Notes

Please provide any relevant clinical information if available. This is optional. If preferred, upload relevant documents via the upload option below.

Supporting Documents (if available)

Please include any relevant medical reports, test results, or imaging studies that support this referral.

Drop files here or

Accepted file types: jpg, png, pdf, word, Max. file size: 10 MB.

Referrer Details

Referrer Details*

Title First Last

Provider Number

Phone Number

Practice Name

Email Address

A copy of this referral will be sent to this email address.

GP Referral

GP Online Referral Form

Refer your Patients to Narangba Station Medical Centre

Patient Details

Referral Information

Referrer Details

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