Referrals
Use the forms below to submit a referral to our team.
Clinical Trial Referrals
Please complete the form below to refer a patient to a clinical trial with Dr Louisa Lo, Dr Peter Lau, Dr Claire Beecroft or Dr Hilary Martin. If precise dates are unknown, please give approximate dates where possible.
Download and return securely via Healthlink or fax.
Healthlink EDI: breastci
Fax: 6500 5577
Breast Clinic Referrals
Please note, you do not need a referral to attend the Breast Clinic. Anyone is welcome.
Please download the Patient Referral Form, complete and return by mail, Healthlink, fax or email.
Post: Suite 404, Level 4, Hollywood Consulting Centre, 91 Monash Ave, Nedlands, WA 6009
Email: pbcibreastclinic@bcrc-wa.com.au
Healthlink EDI: breastci
Fax: 6500 5574
Oncologist and Surgeon Referrals
Below you will find the information for our Specialists.
Post: Suite 405, Level 4, Hollywood Consulting Centre, 91 Monash Ave, Nedlands, WA 6009
Healthlink EDI: breastci (unless otherwise specified)
Dr Claire Beecroft
Email: admin.drcbeecroft@bcrc-wa.com.au
Phone: 6500 5570
Fax: 6500 5505
Dr Azim Khan
Email: admin.drakhan@bcrc-wa.com.au
Phone: 6500 5570
Fax: 6500 5505
Dr Brendan Kirwin
Email: admin.drbkirwin@bcrc-wa.com.au
Phone: 6500 5570
Fax: 6500 5505
Dr Peter Lau
Email: admin.drplau@bcrc-wa.com.au
Phone: 6500 5570
Fax: 6500 5505
Dr Louisa Lo
Email: admin.drllo@bcrc-wa.com.au
Phone: 6500 5570
Fax: 6500 5505
Dr Hilary Martin
Email: admin.drhmartin@bcrc-wa.com.au
Phone: 6500 5570
Fax: 6500 5505
Dr Kallyani Ponniah
Email: surgery.reception@bcrc-wa.com.au
Phone: 6500 5579
Fax: 6500 5577
Dr Ran Li
Email: surgery.reception@bcrc-wa.com.au
Phone: 6500 5579
Fax: 6500 5577
Dr Bindu Kunjuraman
Email: info@drbindu.com.au
Phone: 6500 5579
Fax: 6500 5577
Mr Richard Martin
Email: admin@richardmartin.com.au
Phone: 6500 5579
Fax: 6500 5577
Mr Jose Cid Fernandez
Healthlink: drjose
Email: surgery.reception@bcrc-wa.com.au
Phone: 6500 5579
Fax: 6500 5577
Dr Farah Abdul Aziz
All referrals and correspondence to Perth Surgical Clinic
Post: 25 Charles St, South Perth
Email: info@perthsurgicalclinic.com.au
Phone: 08 9310 3934
Fax: 04 9310 6371
Healthlink: perthsur
Genetic Councellor Referrals
Referrals to our Genetic Counsellor should be made directly to https://cancergc.com.au/referrals. For more information please contact
Phone: (08) 6500 5576
Email: cancergeneticcounselling@gmail.com
Clinical Psychology Referrals
Clinical Psychology services are available to patients. Please ask your breast care nurse or Specialist, to assist with a referral or email psychology@bcrc-wa.com.au.
High Risk Clinic Referrals
To refer a patient to our High Risk Clinic, please fill and send the referral form to pbcibreastclinic@bcrc-wa.com.au.
Please use the forms and information on the left to submit a referral. If you have any questions please contact our team.
Enquiries
Business hours, Mon to Friday between 9am – 4pm
Surgeons
(08) 6500 5579
Oncologists
(08) 6500 5570
Breast Clinic
(08) 6500 5576
Breast Cancer Trials Unit
(08) 6500 5555
Healthlink EDI: breastci (unless otherwise specified)