For health professionals

Referring a client to Beaches Brain Clinic

We welcome referrals from GPs, paediatricians, psychiatrists, neurologists and allied health colleagues. Complete the form below and we'll get back to you as soon as possible to discuss your client's needs.

Submit the form

Provide your details and your client's information using the secure referral form below.

We review & respond

We'll contact you to discuss your client's needs and confirm the most suitable assessment.

Assessment & report

Your client is assessed via telehealth or in person, and you receive a clear written report.

Referring a client? This form is for GPs, specialists and allied health professionals. If you're a client or family member, please use our contact form instead — we'll be glad to help.

Referring practitioner

Your details

First name *

Last name *

Organisation

Profession *

Email *

Contact number *

Client details

Who you're referring

Client first name *

Client last name *

Date of birth *

Sex

Client contact number *

Client email

Reason for referral *

Presenting issues *

Diagnoses (optional)

Current medications (optional)

Relevant medical history (optional)

The information you provide is collected by Beaches Brain Clinic to assess and respond to this referral and is stored securely in Australia. We handle it in line with the Australian Privacy Principles and our Privacy Policy.

Please ensure you have your client's consent to share their information.

Prefer to talk first? Call 0401 241 222 or email contact@beachesbrainclinic.com.au