Form provided by Splose, our practice management system. Stored in Australia. Privacy Policy
Referral
Allied Health — Medicare/Private
Secure online referral for Medicare and private patients. NDIS participants should use the NDIS referral form instead.
Referral details
For Medicare (EPC / Mental Health Care Plan), private health insurance and fee-for-service patients. Acceptance is subject to capacity.
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This form is provided by Splose, the practice management system Reliance Care and Support uses to manage client records. Information you submit goes directly into our secure record for the client and is stored in Australia. See our Privacy Policy for how we collect, store and disclose health information.