GP & Physio Referrals

Please note this form is for health practitioners only. For general enquiries please phone my practice on 1300 746 853.

    Practitioner Details






    Patient Details



    Diagnosis and Comments


    Please attach any reports related to the patient


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    MEMBERSHIPS

     

    American Academy of Orthpaedic Surgeons Australian Orthopaedic Association   Royal Australian College of Surgeons    International Society of Arthoscopy, Knee Surgery & Orthpaedic Sports Medicine     Queensland Shoulder Society

     Australian Knee Society  Shoulder & elbow society of Australia  Australian_Medical_Association    SPORTS MEDICINE AUSTRALIA    american board of independent medical examiners

         

    AFFILIATIONS

     

    ST ANDREWS WAR MEMORIAL HOSPITAL  RAMSAY HEALTH CARE   GREENSLOPES PRVATE HOSPITAL           BRISBANE KNEE AND SPORTS SURGERY