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.
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)
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.
- general program referral [DOCM 76.46 KB] if you work for Queensland Health
- CYMHS referral form [DOCM 85.43 KB] if you’re external to Queensland Health.
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.
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:
- email: CHQ-CH-Referral@health.qld.gov.au if you work for Queensland Health
- fax: 07 3068 3719 if you’re external to Queensland Health.
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:
- email: firstname.lastname@example.org if you work for Queensland Health
- fax: 07 3310 7810 if you’re external to Queensland Health.
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:
- send through Medical Objects ID: RQ402900084
- email CHQ-REF@health.qld.gov.au.
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.
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.