Refer a patient

Referrals to Mayfair Specialists and the See and Treat Clinic can be made via our online referral form.

Specialists available through this form include Dr Daniel Wilks, Dr Adam Gascoigne, Dr Amir Tadros, Prof Trevor Kilpatrick, Dr Vivien Li, and Dr Leonard Shan.

For all other specialists, please refer to their contact details in their bio on our Doctors page.

Mayfair Specialist Centre welcomes referrals from GPs and other specialists, and we are committed to delivering timely, high-quality care with short wait times for all patients.

Online referral form

"*" indicates required fields

Patient details

Patient name*
Date of birth*
Address
Services required*
Specialist type*

Referring doctor's details

Doctor's name*
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    Refer manually

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    (03) 9340 5888

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    (03) 9349 1326

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    [email protected]

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    Level 7, West Side
    250 Victoria Parade
    East Melbourne VIC 3002

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