Referral forms

GPs and private health care providers

  • Please enter your details below to access the Lady Cilento Children’s Hospital specialist referral form. By registering your details, you will receive an email notification each time this form is updated. This will ensure all referrals are addressed to the correct specialist, avoid unnecessary delays in processing and minimise requests for changes to referrals. The eligibility requirements should be reviewed before referring your patient.
  • This field is for validation purposes and should be left unchanged.

Sending referrals

Secure messaging via –

Medical Objects ID: RQ402900084

Post: PO Box 3474 South Brisbane Qld 4101 f: 1300 407 281 e: chq-lcch-ref@health.qld.gov.au (Queensland Health staff only)

Outpatient Call Centre

Patients should contact the Outpatient Call Centre to confirm or change appointments. To provide you with the best possible service, please check your outpatient appointment letter and have your patient reference number (URN) handy (displayed in the top right of the letter).

t: 1300 762 831