Referrals

Optimal health for people living with chronic conditions requires a team of professionals, each using their particular skill set to help someone live their best life.

Our Accredited Exercise Physiologists and Credentialled Diabetes Educator make up part of that team.

When you refer a client to Optimum, you can be sure of our team approach. We will provide you with updates regarding your client’s care and progress.

Please complete the below information and provide your client with relevant hard copies of their care plan, Medicare/DVA referral, and/or scan and pathology results where appropriate.

REFERRAL

Please fill in client and referrer details below.

Client Name*

Client Phone Number*

Client Email*

Type of Allied Health Provider (Exercise Physiology or Diabetes Educator)?*

Referral Funding Type

Referrer Name*

Please provide relevant information regarding client

Referrer Organisation/Practice

Referrer Phone*

Referrer Email

Additional Information

Please email any additional information to info@optimumep.com.au or give to client to bring along to their appointment

Additional relevant information and documentation may include a care plan, Medicare or DVA specific referral, and recent scan or pathology results where appropriate.

Client Referral

REFERRAL

Additional Information