For Doctors & Referrers

Dr Mittal welcomes referrals from general practitioners, specialists and other healthcare professionals for patients requiring specialist surgical assessment.

This page is intended for healthcare professionals involved in the care of a patient. Referrers may submit referral information, provide relevant clinical details and attach supporting reports. For urgent or time-critical matters, please phone the rooms directly.

For urgent or time-critical clinical matters, please phone the rooms directly.

This form is not intended for emergencies or same-day urgent advice. If the patient is acutely unwell, please direct them to the nearest emergency department or contact the relevant on-call surgical service.

Rooms phone: (02) 9460 7727

Referral Pathways

How to refer

Online referral form

Use the secure form below to submit a referral or clinical question, with the option to attach referral letters and reports.

Go to the form →

Secure messaging / fax

Send referrals through your usual secure messaging or fax pathway if you prefer.

  • HealthLink EDI: drmi7tal
  • Fax: 02 9475 0603

Phone for urgent matters

For urgent or time-critical matters, please phone the rooms so the request can be triaged promptly.

(02) 9460 7727

Checklist

What to include with a referral

To help triage and assess the referral promptly, please include the following where available.

  • Referral letter
  • Reason for referral
  • Degree of urgency
  • Relevant symptoms and clinical history
  • Relevant comorbidities
  • Current medications, especially anticoagulants/antiplatelets
  • Allergies
  • Relevant pathology results
  • Relevant imaging reports
  • Endoscopy reports if applicable
  • Patient contact details
Secure submission

Send a referral or clinical question

Complete the form below. Required fields are marked with *. Please only submit information relevant to the patient’s care.

Thank you. Your referral/question has been submitted to Dr Mittal Surgery.

The rooms will review the information and respond using the contact details provided. If the matter becomes urgent, please phone the rooms directly on (02) 9460 7727.

Submission type *
Urgency *

Your details (referrer)

Patient details

Clinical information

Investigations available / attached Tick all that apply.

Supporting documents

Accepted file types: PDF, JPG, PNG, DOC and DOCX. Maximum 10 MB per file. Please do not upload DICOM imaging files.

Confirmation *
Information submitted through this form is used for the purpose of triaging and responding to referrals and clinical enquiries. Please only submit information relevant to the patient’s care.
Or call (02) 9460 7727