Referral Form

*****Please Note: From 1 March 2023, referrals for audiology from any medical practitioner are eligible for a Medicare rebate*****

Download our referral form for the Carina clinic and indicate which type of assessment is required.

On completion of the assessment, a full clinical report will be forwarded to you by the audiologist.

JPA Referral Form

If you would like referral pads posted to your clinic, please contact our support staff and this will be arranged for you.

EPC/CDM Referral Form

To refer clients through the EPC or CDM systems, please complete a standard EPC/CDM form and mark the appropriate number of Audiology appointments required.

Hearing Services Voucher Application

Please note, no referral or Voucher Application form is required. Patients will simply be asked to provide their contact details and pension number to our support staff who will then arrange the hearing services voucher.