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.