Queensland Children’s Hospital

You'll need to register your details first to download our referral forms. After you register we'll let you know if there are any updates to the forms you use.

Register now


Child Development Program

The Child Development Program helps families with children who have developmental delays.

Use the specialist referral form [PDF 1650.5 KB] and choose the child development specialty.

Child and Youth Mental Health Service (CYMHS)

Community Clinics

Read the CYMHS Community Clinic referral guidelines [PDF 85.7 KB] to make sure your patient is eligible.

Use the CYMHS referral form [DOCM 85.43 KB] for referrals to the following clinics:

  • Inala Community Clinic
  • Mt Gravatt Community Clinic
  • North West (Keperra) Community Clinic
  • Nundah Community Clinic
  • Pine Rivers Community Clinic
  • Yeronga Community Clinic.

Zero to Four

Zero to Four is a specialist mental health service for infants and children under 4.

Read the Zero to Four referral guidelines [PDF 154.22 KB] to make sure your patient is eligible.

Use the CYMHS referral form [DOCM 85.43 KB].

Eating Disorders Program

Read the referral guidelines [PDF 145.08 KB] to make sure your patient is eligible.

Use the:

Day program

A day program is available for patients who aren't getting community treatment. Read the day program referral guidelines [PDF 139.06 KB] to make sure your patient is eligible.

Use the day program referral [DOCM 88.09 KB] and email CHQ-CYMHS-EatingDisordersDayProgram@health.qld.gov.au.

Child, Youth, Family Health Service

Read the referral guidelines [PDF 226.96 KB] first to make sure your patient is eligible.

Use the referral form [DOCM 73.55 KB] and either:

Deadly Ears Program

The Deadly Ears Program is for Aboriginal and Torres Strait Islander children under 16.

Use the referral form [PDF 905.88 KB] and either:

Ellen Barron Family Centre

The Ellen Barron Family Centre helps families with children under 3 who need parenting support.

Read the referral guidelines [PDF 176.93 KB] to make sure your patient is eligible.

Use the referral form [PDF 920.49 KB] and either:

Good Start Program (Healthy Kids Club)

Use the GSP referral form [PDF 1052.62 KB].

Queensland Hearing Loss Family Support Service

Our hearing loss family support service is for children under 6 who are diagnosed with hearing loss.

Use the QHLFSS referral form [PDF 323.52 KB] and email QHLFSS@health.qld.gov.au.

Outpatient Call Centre

Families and patients can call our Outpatient Call Centre on 1300 762 831 if they have questions about their appointment.

ePIMH (e-Perinatal and Infant Mental Health) Telepsychiatry Service

e-PIMH is a statewide telepsychiatry secondary consultation service aiming to provide equitable access to specialist perinatal and infant psychiatrists in a timely manner and reduce the need to travel for more intensive supports.

Read the referral guidelines on how to refer.

Use the referral form and email e-PIMH@health.qld.gov.au.

Last updated: November 2023