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Referral to Bloomhill Cancer Care
Bloomhill accepts referrals from GPs, Nurses and Allied Health workers. All referrals are triaged, and eligible clients will be admitted as a Bloomhill Client – case managed by an oncology nurse. Referrals are responded to within 2 working days. The range of Bloomhill services are listed below.
Client Information
First Name
*
Please enter a value
Surname
*
Please enter a value
Date of Birth
*
Please select a date
Email
Please enter a valid email address
Phone
Mobile
Referral Information
Referred to
Specialist Oncology Nurse
General Practitioner (GP) Clinic
Referred to Allied Health
Exercise Physiologist
Lymphoedema Clinic
Dietitian
Psychologist
Counsellor
Reason for Referral
*
Please tick a checkbox
General Admission
Survivorship Clinic
Integrative Oncology Consultation (GP Clinic)
Transport Services Only
Relevant History
*
Please enter a value
Referred by
*
Please enter a value
Designation
*
Please enter a value
Organisation
*
Please enter a value
Phone Number
*
Please enter a value
Referral Date
*
Please select a date
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