SPECIALIST WOMEN'S ULTRASOUND

Dr Michael Bethune MBBS FRANZCOG DDU COGU

Suite 12, 28-32 Arnold Street, Box Hill, 3128
Telephone: 03 9898 9055   Fax: 03 9890 8400
Email: [email protected]

Referral Form

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Please click here to download a pdf copy of the A4 Referral Form or Referral Form with Check boxes

Patients require a valid referral for each visit to Specialist Women's Ultrasound. Referrals for pregnancy ultrasounds are typically valid for only one examination, and another referral is required for a subsequent ultrasound.

Referring Doctors can contact us on 9898 9055 or email [email protected] and a set of pre-printed referral pads in either an A4 or A5 size can be mailed to your practice.