GPs and Specialists Referral Form Have a question? Call us on 1300 001 778 Submit your Referral Documents "*" indicates required fields GP's Name* First Name Last Name GP's Contact Number*GP's Provider Number Client's Name* First Name Last Name Upload Referral Letter and MHCP* Drop files here or Select files Accepted file types: jpg, png, pdf, Max. file size: 5 MB, Max. files: 5. NameThis field is for validation purposes and should be left unchanged.