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GP Referral Request

Please complete the referral details below. After submission, a separate link will be generated for the patient.

Doctor / Nurse Referral Details

Please provide the referring doctor details, referral information and basic patient details.

Referring Doctor
Referral Information
Patient Basic Details

The patient form link can be sent to this number through WhatsApp.

Upload the referral letter as PDF, JPG or PNG. Maximum file size: 5 MB.

Referral Submitted

The referral has been recorded successfully.

Referral ID:

Please send the link below to the patient. The patient can complete the remaining details using this link.

Send via WhatsApp

Complete Your Patient Details

Your doctor or clinic has already submitted the referral. Please complete the remaining details below.

Your Details
Consultation Details

Details Submitted

Thank you. Your information has been connected to your referral. The clinic team will contact you regarding the next step.

How the GP Referral Works

  1. Submit the Referral

    Enter the referring doctor and patient details, and add the relevant referral information.

  2. Share the Patient Link

    After submission, use Copy Patient Link or Send via WhatsApp to share the generated link with your patient.

  3. Patient Completes Details

    The patient opens the link and submits their remaining details and consultation preferences.

Submitting these forms does not confirm an appointment. The clinic team will contact the patient to arrange the next step.

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