Clinician-to-clinician referral

Refer a child to Limi Children’s Hospital

Coordinate specialist assessment, diagnostics, surgery, developmental care, neonatal discussion or another paediatric pathway.

Before you begin

Urgent transfers must start with a call.

Do not wait for a form response when a child needs urgent stabilisation or transfer. Call the receiving clinical team first.

Call 08134085400

Secure data design

This theme does not save referral or patient information in WordPress. Submissions are sent directly to the approved secure endpoint configured by the hospital.

Referral pathway

Choose the pathway that best reflects the current need.

Referral type

Referring professional

Used to acknowledge and coordinate the referral.

Full nameProfessional roleFacility or institutionTown, LGA and stateRegistration numberDirect phone/WhatsAppProfessional email

Child and guardian

Only the minimum information needed to coordinate care.

Child’s nameAge or date of birthParent/guardian nameGuardian phonePreferred languageHMO/NHIA or payment pathway

I confirm that the parent/guardian agreed to this referral and to Limi Children’s Hospital contacting them.

Clinical request

Provide the clinical context needed for coordination.

Reason for referralPrevious tests, treatment and current support

Requested servicePreferred review window