Patient Referral

You can refer a patient to the Mind + Gut Clinic by using the online referral form below.

Alternatively, you can make a referral by phone on 1300 707 443 or fax 03 9525 9358 or email at

At Mind + Gut we believe that the more information we have about your patient, the better. Please feel free to include us on any appropriate correspondence with their GP, Gastroenterologist or other Specialist Services. Mind + Gut will also correspond with you directly once your patient has been seen for an initial consultation.


Patient Details

Referral Information

Referrer Details