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Referral Templates

To make a booking please call (07) 3858 8690. To enquire about anything else please visit our Contact Us page.

Referral Forms

HeartCare Partner Referral pads are available by completing the Order Form below or by emailing This email address is being protected from spambots. You need JavaScript enabled to view it..

HeartCare Partners Referral Form [PDF] Download
HeartCare Sunshine Coast Referral Form [PDF] Download
HeartCare Wide Bay Referral Form [PDF] Download
HeartCare Partners Echocardiogram Request Form - Clayfield, Mt Ommaney, Mater Private (bulk billed) [PDF] Download
HeartCare Partners Echocardiogram Request Form - Clayfield, Mt Ommaney, Mater Private (bulk billed) [RTF] Download
HeartCare Sunshine Coast Echocardiogram Request Form (bulk billed) [PDF] Download
HeartCare Sunshine Coast Echocardiogram Request Form (bulk billed) [RTF] Download
HeartCare Partners South Burnett Referral Form [PDF] Download
HeartCare Partners South Burnett Referral Form [RTF] Download
Clozapine Echocardiography Request Form (bulk billed) [PDF] Download

Order Forms

Please complete the electronic order forms:

Referral Pads & Patient Information Brochures Order Form [PDF] Download
Request Form - Electronic Letters, Results and Referrals [PDF] Download

Medical Director

Our cardiology request form is available in Medical Director. Alternatively, you can import the template into your Medical Director medical software - Please follow instruction manual.

Please note: Do not open the template before being imported into your Medical Director software as this can corrupt the files and you'll need to start again.

Medical Director Cardiology Request Form Download
Medical Director Echocardiogram Request Form - Clayfield, Mt Ommaney, Mater Private (bulk billed) Download
Medical Director Echocardiogram Request Form - Sunshine Coast (bulk billed) Download
Medical Director Template Instructions Download

Best Practice

Our cardiology request form is available in Best Practice. Alternatively, you can import the template into your Best Practice medical software - Please follow instruction manual.

Please note: Do not open the template before being imported into your Best Practice software as this can corrupt the files and you'll need to start again.

Best Practice Cardiology Request Form Download
Best Practice Echocardiogram Request Form - Clayfield, Mt Ommaney, Mater Private (bulk billed) Download
Best Practice Echocardiogram Request Form - Sunshine Coast (bulk billed) Download
Best Practice Template Instructions Download

Medical Objects

Referral forms can also be sent using Medical Objects. Using the LookUp Provider screen:

When searching by individual (search type ‘Name’) please search on specialists Surname <space> Firstname <Return> or Partners, HeartCare

When searching by organisation (search type ‘Organisation Name’) please search for PARTNERS HEART CARE, Provider Number PH4000000EU.

Patient Information Brochures 

Patient information brochures are available for all procedures and testing by completing the Order Form below or by emailing This email address is being protected from spambots. You need JavaScript enabled to view it.

Patient Information Order Form [PDF] Download

Genesis Logo Small.pngGenesisCare is Australia’s leading provider of radiation oncology, cardiology and sleep treatments. We exist to fill the treatment gap for the biggest disease burdens in Australia - cancer and heart care - in an environment of substantial unmet demand from an ageing population. Click here to learn more