Refer a Patient | Sohma House

First name * Enter your first name. Last name * Enter your last name.

Role * Select your role. Clinic, pharmacy, or organisation * Enter your organisation.

Email * Enter a valid email address. Phone * Enter a phone number.

Best way for Sohma to contact you * Phone Email Either Choose a contact preference.

Patient first name * Enter the patient's first name. Patient last name * Enter the patient's last name.

Date of birth * Enter the patient's date of birth. Medicare or UR number

Patient phone Provide at least one patient contact method. Patient email Provide at least one patient contact method.

Clinical urgency * Routine Soon Needs triage call Choose an urgency level.

What is this referral for? Complex chronic care Specialist prescribing oversight Medication review or prescribing support Integrative GP review Allied health coordination Unsure, please triage

Reason for referral * Add the reason for referral. Current care context

What role should Sohma play? * Full transition of care Sohma takes over the relevant clinical management. Prescribing and complex-care oversight only You remain the primary GP or care lead. Shared care Ongoing coordination between Sohma and your team. Advice or triage first You want Sohma to assess fit before a formal handover. Choose Sohma's role in the case.

Case conference involvement * Willing and able to participate in case conferences. Prefer written or phone updates only. No routine case conference involvement required. Choose a case conference preference.

Ongoing contact preference * Contact me before major treatment changes. Send a summary after assessment. Only contact me if clinically necessary. No routine updates. Choose an update preference.

Referrer

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Patient

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Referral

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Shared care

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Refer a patient to Sohma House

Patients who need coherence, not another disconnected appointment.

What happens next.

We acknowledge receipt

We assess fit and triage

We book and keep you in the loop

Your details

Thank you. We have the referral packet.