Referral Form

  • Patient Details

  • Examination Required (ALL TESTING IS BULK BILLED)

  • Telehealth Appointment

  • Cardiology Consultation

  • Vascular

  • Other Specialists

  • Clinical Details

  • Who is Your Referring Doctor?

  • Locations

As a referring medical practitioner you can be assured that we will respond rapidly to your needs with access to multiple sites for services, fast turnaround of reports and priority service for your urgent patients.

We are a boutique practice that prides ourselves on our four core values; compassion, dedication, integrity and excellence.

We are committed to understanding the needs of our referring doctors so that we continually provide a caring and professional service that exceeds your expectations. Please feel free to contact us at any time for access to our doctors for advice or to seek treatment for urgent patients.

In addition, all our practices utilise modern cardiovascular equipment, technology and techniques to ensure diagnostic accuracy is maximised.

Access to Access Cardiology

We want our cardiology practice to be accessible to everyone, as such we have implemented the following strategies:

Unlimited Access To Dedicated Specialist Support

Access Cardiology has a dedicated mobile phone number that gives referrers access to our cardiologists at any time, any day, for assistance with urgent cases and advice.

Our Cardiologists are available on 0476 920 821 at all times to answers all questions, or contact our administration staff on 9389 8658 or email

Bulk Billing Available On GP Request

We firmly believe that everyone should have access to the highest quality of healthcare, as such, upon the request of a GP, we will Bulk Bill patient consultations and testing services if required.

Five Convenient Locations Across Perth

Access Cardiology has positioned itself across various rooms in WA that ensures that we are located at a premises near you. All our practice rooms utilise modern cardiovascular equipment, technology and techniques to ensure diagnostic accuracy is maximised.

Referral Resources

We appreciate your referral support. As such, we have endeavored to create as many referral options possible, to make referring easier for you. If you require any additional referral templates to be created please do not hesitate to talk to us on 9389 8658 or email

We have the following referral options available:

  • A5 Referral Pads
  • Electronic Referral Templates
  • Online Referral Form

Need more referrals?

Email us at or call our office on 9389 8658 and we will happily send you the referral template of your preference.

Electronic Referral Templates

Referral Template Installation Disclaimer:

Please do not open the referral templates until they are saved in your software. If the referral templates are opened the auto-generated fields will be corrupted.

Medical Director v1.1

Best Practice v1.1

PDF Referrals

Referral Form – Access Cardiology Perth Metro v1.6

Referral Form – Access Cardiology Regional – Albany V1.3