Make A Referral

If you are a practitioner looking to refer a patient please complete the details below.

Referral Form

For Medicare purposes referrals to MHCK need to be made by your treating physician (General Practitioner or Specialist).

If you prefer to fax please download a PDF version of our form here and fax it through to: (03) 93456580.

  • Date Format: DD slash MM slash YYYY

   CLINIC HOURS

Monday8:30 – 5:00
Tuesday9:00 – 4:00
Wednesday8:30 – 5:00
Thursday8:30 – 5:00
Friday8:30 – 5:00

 (03) 9345 6414

(03) 9345 6580

   CLINIC LOCATION

Level 3, Suite 3.8,
48 Flemington Road
Parkville, Vic 3052

Make A Referral

If you are a practitioner looking to refer a patient please complete a referral form here and we will get back to as soon as possible.

MAKE A REFERRAL