Send a Doctor's Referral to NSV

(This facility is only for use by General Practitioners and other Medical Specialists)


To advise Northern Sydney Vascular of a patient that you'd like to refer, please first complete the following and then click on the submit button (below).

Your Name (Medical Professional):


Your Provider Number:


Your Phone Number:


Patient's Name:


Patient's Daytime Phone Number:


Reason(s) for the referral:










If the patient's case is urgent (ie less than 1 week) and an immediate review is needed then please call the rooms directly on (02) 9439 8972 and advise us of the patient's details.