GP Referral Form
Refer your patient to LapSurgery Australia for a bariatric or general surgery consultation.
For GP enquiries, call our team on (03) 9760 2777
Download Referral Form (PDF)Refer a Patient Below
At LapSurgery Australia, we require a GP referral for your patient's initial consult with our surgeon.
Please download or print this interactive PDF form to fill in your details. You can then take the form to your GP to complete the referral.
Download the PDF Form
Click the button below to download the interactive GP Referral Form PDF.
Complete Patient Details
Fill in the patient's details and the reason for referral in the interactive PDF.
Send or Fax to Our Clinic
Submit the completed form by fax, email, or have your patient bring it to their first appointment.
Interactive PDF — fill in digitally or print and complete by hand
Contact Our Rooms
- (03) 9760 2777
- Gladstone Road Consulting Suites
327 Gladstone Road, Dandenong North VIC 3175
PDF format · Interactive · Print-friendly
Why Refer to LapSurgery Australia?
Over 20 Years Experience
Our surgeons have performed thousands of bariatric and general surgery procedures with excellent clinical outcomes and patient satisfaction.
Comprehensive Multidisciplinary Care
Our team includes surgeons, dietitians, psychologists, and physiotherapists — delivering whole-patient care before, during, and after surgery.
GP Collaboration
We keep you informed throughout your patient's journey with detailed correspondence and are always available to discuss cases by phone.