Referral Form

BCH Referral Information

Bass Coast Health (BCH) provides a wide range of services – please see below the preferred method of referral to each individual service.

Inpatient Services Referral

All referrals to be sent to the Patient Flow & Access Coordinator: Ph: 03 5671 3384 Fax: 03 5671 3321

Hospital in the Home (HITH) Referral

All referrals to be sent to the HITH Team via email (preferred method):

General Enquiries to (03) 5671 3439

Outpatient Services Referral

All referrals to be sent to the BCH Access Team via Fax (preferred method for referrals from outside of BCH) or email (preferred method for referrals from BCH employees): Fax: (03) 9102 5307 or 
General Enquires to (03) 5671 3175.

| Outpatient Specialist Clinic Referral Form

| Cardiology Referral Form

Mandatory referral information required includes:

  • a minimum of 3 client identifiers
  • relevant medical/social history
  • presenting issues/goals
  • discharge summaries (as relevant)
  • Medicare details
  • Local GP name and contact number

Referrals via Australian Community Support Organisation (ACSO) | 1300 022 760Alcohol and other Drugs Services

Family Day Care  |  Contact 5671 3301 or

Family Services  Referrals via The Orange Door: 1800 319 354

Meals On Wheels | Contact: 5671 3247 or

Supported Playgroups |  Contact: 0427 729 695

Volunteer Transport Program Contact: 5671 3372


Referral Documents

Asthma and Pulmonary Rehabilitation
Breast Care Nurse (The McGrath Foundation)
Cardiac Rehabilitation
Continence Service
Diabetes Education
Disability Planning
District Nursing and Palliative Care
Emergency Relief
General Surgery
Geriatric Medicine
Integrated Chronic Disease Management (ICDM)
Lymphoedema Management
Occupational Therapy
Older Person's Nurse Practitioner
Orthopaedic Surgery
Plastic Surgery
Radiation Oncology
Respiratory & Sleep
Social Support Groups
Social Work
Speech Pathology
Stomal Therapy
Stop Smoking Support