General practitioner referral

SurgerySA understands prompt access to our services is most important to our General Practitioners.

Please submit a direct online referral using the form below.

Please call us on (08) 7200 3454 if you need to discuss a patient urgently.

    You can attach a referral letter here.
    Accepted file types: DOC, DOCX, PDF, JPEG, JPG, TIF, PNG.
    File size limit 20Mb.

    If you need to attach more than one file, please email them to

    Please note: items marked * indicate mandatory fields.

    Referring Doctor's Details

    Patient's Details

    If an referral letter contains the following information, you do NOT need to fill them in again.

    Date of birth