(08) 6102 1655

Online Referral Form

Please complete this secure form to refer your patient to HeartWise Cardiology

HeartWise Cardiology
HeartWise Cardiology
Heart Care with compassion and wisdom
FOR APPOINTMENTS
T: 08 6102 1655
HealthLink: hwisecrd
F: 08 6118 5522
www.heartwisecardiology.com.au
E: admin@heartwisecardiology.com.au

Patient Information

Clinical Information

Specialist Clinics
Current Medications
Patient History
Investigations Required
Clinical Details *

✓ Bulk billed testing & telehealth available

Referring Doctor Information

Electronic submission

📍 Locations: Riverton • Perth CBD • Nedlands • Joondalup • Gosnells

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Consent declaration: By submitting this referral, the referring clinician confirms that the patient has consented to the transfer of clinical information to HeartWise Cardiology for specialist triage, assessment, communication with the referrer, and where clinically appropriate, arrangement of cardiology consultation or testing.

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HeartWise CardiologyHeart Care with Compassion and Wisdom

Cardiology services across Perth, Western Australia. Committed to excellence in cardiac care.

Contact

Phone: (08) 6102 1655
Fax: (08) 6118 5522
info@heartwisecardiology.com.au
HealthLink ID: hwisecrd
Medical Disclaimer: Information on this website is general in nature and does not replace individual medical assessment. HeartWise Cardiology does not provide emergency care through this website. If you have chest pain, severe breathlessness, collapse, stroke symptoms or any urgent concern, call 000 or attend the nearest Emergency Department.

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