For referring practitioners

Refer a patient

Send us a referral and we'll take it from here. Fill in the form below, or grab the PDF and email it across. Either way, we'll be in touch with your patient within one business day.

Patient details

Patient name *

Date of birth

Patient phone

Patient email

Referral details

Funding type *

Claim / reference no.

Reason for referral *

Your details

Your name *

Practice / clinic

Your email *

Your phone

Prefer paper?

Download the form, fill it in, and email it to us whenever it suits.

Download referral form (PDF)

Email to admin@westcoastah.com.au

What we accept

WorkCover WA

Motor vehicle accidents (CTP)

GP care plans (Medicare CDM)

DVA

NDIS

Private health & self-funded

What happens next

We call your patient within one business day to book them in.

After the first session, you'll get a short report. And we'll keep you in the loop as things progress.

Refer a patient

Referral received

Prefer paper?

What we accept

What happens next