All referrals to Northern Health should be sent to the Northern Health Ambulatory Care Entry & Triage Service (ACETS)

Fax:                        9495 3510

Free Call:             1300 128 539


The General Practice Referral Form can be used to refer to Northern Health services and programs. The form can be downloaded here (General Practice Referral Form)

Minimum Referral Information

To ensure safe, timely access to Northern Health, all referrals must contain the minimum referral information as detailed below:

Patient Demographic Information:

Clinical Information

  • Full Name (and alias)
  • Address
  • Mobile Number
  • Date of Birth
  • Medicare Number
  • Indigenous Status
  • Interpreter Requirements
  • Reason for Referral
  • Requested Specialty / Service
  • Working Diagnosis
  • Current Manage of the condition
  • Medical History (current and relevant past)
  • Current Medications
  • Relevant Investigations and pathology

* Please note that if a referral fails to meet the minimum referral information it will be returned to the referring GP and the patient notified.

Referring to Northern Health Specialist Clinics – HealthPathways Melbourne

Northern Health supports the use of HealthPathways Melbourne when referring to Specialist Clinics. HealthPathways Melbourne provides referring GP’s with a comprehensive suite of clinical pathways, including guidance on when to refer and what information is required to accompany a referral.


To refer to a specific Northern Health program or service please click here.