Referral Form to our Dietitian

This form is to be completed by your referring doctor or health professional.

Please note that patients with private health insurance may be eligible to claim a rebate on consultation fees.
Please note that for patients seeking dietetic services under WorkSafe, a medical practitioner must provide WorkSafe with a request for dietetic services prior to commencement of treatment.
GPs are encouraged to fax or email a copy of the relevant part of the patient’s care plan to (03) 5996 1779 (Cranbourne), (03) 9783 9467 (Frankston), (03) 5943 1600 (Officer) or

Please phone (03) 5996 1688 (Cranbourne), (03) 9783 3030 (Frankston) or (03) 5942 1200 (Officer) to book an appointment. 

For your convenience,  you can also book online via the CONTACT US page.