CLOSED: 3 – 6 April | 9 – 12 April

Online Referral Form

For Doctors

Referring healthcare providers or doctors can use our dedicated referral form to seamlessly transfer patient care to Dr Krishnan Parthasarathi. This secure process ensures we receive all the necessary information to appropriately prioritise and prepare for your patient’s visit.

Our referral form includes:

  • Patient details
  • Reason for referral
  • Medical history highlights
  • Imaging information
  • Clinical notes
If you’re a referring doctor, we appreciate the opportunity to collaborate on your patient’s care. We value our professional relationships and strive to provide excellent communication regarding your patients’ progress.
All information is handled with strict confidentiality in accordance with privacy legislation.
Doctor Details
Patient Details

Questions?

If you have any questions about our forms or need assistance completing them, please contact our friendly administrative team.

We’re here to help make your experience with Elevate Oral & Jaw Surgery as seamless as possible.