GP Referral Form

GP Referral

Please complete the form below to refer a patient to Hollywood Gynaecology. A copy of this form will be sent to our practice, as well as the email address you specify.

Upon completion of this form please direct the patient to contact our practice after 3-5 working days, allowing the Specialist to triage the referral. See below the appropriate phone number to provide your patient, dependent on which Specialist you are referring to.

Dr Robyn Leake and Dr Jennifer Pontré: (08) 9389 5065

Dr Krish Karthigasu: (08) 9389 8900

For urgent cases, please contact us by phone.