How to send us a referral
Refer via | Darwin | Alice Springs |
|---|---|---|
HealthLink EDI | healthnt | healthnt |
Fax | (08) 8927 8515 | (08) 8952 7000 |
PO Box 40113 CASUARIANA 0811 | PO Box 3695 ALICE SPRINGS 0871 |
Referral Forms
Diabetes Education
Use this form to refer a client for our diabetes education services, including support for type 1 diabetes, type 2 diabetes, pre-diabetes and gestational diabetes.
Diabetes Referral Form
(94.29 KB)
Insulin Therapy Titration Form
For the clients requiring support with insulin therapy management and optimisation.
Insulin Therapy Titration Referral
(338.51 KB)
Cardiac Education
Use this form to refer a client for our cardiac education and rehabilitation services.
Cardiac Referral Form
(256.06 KB)
Multidisciplinary Team (MDT) Program
For eligible clients with diabetes, pulmonary disease and/or cardiac disease who would benefit from allied with health providers.
MDT referral form
(458.29 KB)