Refer a patient

Submit a referral

Please confirm patient consent before submitting. We acknowledge referrals within one business day.

Referrer details

Your full name

Role

Organisation (optional)

Phone

Patient details

Patient full name

Date of birth

Preferred suburb / region

Patient postcode

State / territory

Allied health service needed

Body area or condition

Injury or surgery date (if applicable)

Funding pathway

Urgency

Clinical summary

Upload referral or report (optional)

PDF, image or Word document. Max 10 MB.

Patient is open to telehealth if a suitable in-person provider isn't available.

Information submitted through this form may include health information. Please review our Privacy Policy before submitting.

I confirm the patient has consented to this referral. I consent to Get Rehab collecting the submitted information, reviewing it for referral suitability, contacting the patient or referrer, and sharing relevant details with suitable participating rehabilitation providers for referral purposes.

Get Rehab helps collect referral information and connect people with suitable participating providers. We do not determine claim eligibility, funding approval, legal rights, or medical suitability.