Doctors (or allied health practitioners) can refer patients to us online by completing this form.

Supplementary information or medical reports sbould be faxed to our office on Fax: (03) 9682 0203.  Our office staff will contact the patient as quickly as possible.

If the referral is urgent or should you wish to discuss any clinical matters with Mr Freedman directly, please contact our rooms on Tel (03) 9532 3333.

Disclaimer: This online form is not an emergency referral service.
For urgent matters please contact Mr Freedman directly on his mobile phone or via the hospital switchboard at Holmesglen Private Hospital or John Fawkner Private Hospital. For emergencies please contact your local emergency department.

  • Patient Details

  • Referrer Details

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