Completing this online form is the quickest and most efficient method of referring for all practitioners.

If you require a patient to be seen by Mr. Moore as an emergency consultation, please do not hesitate to phone the rooms directly on 03 662 9997. We will endeavor to see your patient as soon as possible.

‍For convenience a copy of this form will be sent to the supplied email address for your records.
This can be saved as a PDF and imported into your practice management software.
Alternatively, you can download our fillable PDF form. To use the submit function within the PDF form please download the form and open within Adobe Acrobat Reader.

We also accept referrals via ERMS (Live) and Healthlink (Coming May 2021).

A copy of all correspondence will be forwarded to the "Practice Email" Address including consultation letters.

Fill out my online form.