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 Referrals
Post: Suite 406, Level 4, Hollywood Consulting Centre, 91 Monash Ave, Nedlands, WA 6009
Healthlink EDI: breastci (unless otherwise specified)
Phone: (08) 6500 5570
Surgeon Referrals
Post: Suite 405, Level 4, Hollywood Consulting Centre, 91 Monash Ave, Nedlands, WA 6009
Healthlink EDI: breastci (unless otherwise specified)
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: 9581 4455
Fax: 6500 5577
Mr Richard Martin
Email: admin@richardmartin.com.au
Phone: 6500 5571
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
Dr Vanitha Budhavaram
Email: info@drvanbud.com.au
Phone: 08 6478 6879
Dr Yang Huang
Email: info@dryanghuang.com
Phone: 08 6500 5577
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
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
Oncologists
(08) 6500 5570
Breast Clinic
(08) 6500 5576
Breast Cancer Trials Unit
(08) 6500 5555
Surgeons
Please see “Surgeon Referrals” for contact information
Healthlink EDI: breastci (unless otherwise specified)
