Direct Patient Access

OrthoRAPID accepts REFERRALS from patients & their carers DIRECTLY

An alternative to waiting weeks to see your GP or hours in busy emergency departments just to get a referral

Please bring your imaging pictures to your OrthoRAPID consultation, not just a report

Imaging facilities are available in the region we service

For locations click here

Self Referral Form

Need to see us quickly? You can refer yourself to our clinic without the need for a GP or doctor's referral.

A completed PDF copy of your self-referral will be automatically sent to our office and to your nominated email address.

Your usual GP will be informed of your attendence at OrthoRAPID.

Please note, self-referrals are not eligible for a Medicare rebate on your appointment.

If you would like to claim Medicare rebate, please ask your doctor to complete the form located here.

If you need an urgent doctor's referral, consider an online telehealth provider located here.

Patient Details

Full Name

Phone

Medicare Number

Date of Birth required

Email

Reference Number

Description of Problem

Please let us know briefly what the issue is

Where were these investigations done?

I understand I must ask the imaging provider to print my images and I must bring them to my consultation

Usual GP

Select an option

I have a usual GP

I don't have a usual GP

Doctor's Name

Practice Address

Confirmation

I confirm I understand that with a self referral I am unable to claim a Medicare rebate on my appointment

Signature

Thanks for submitting!

Clinic Fees

Initial Visit: $250

Medicare rebate if referred by a doctor:

Out of pocket:

Subsequent Visit: $100

Medicare rebate if referred by a doctor:

Out of pocket:

Follow-up care after surgery for fractures is billed according to the PBS fee schedule

Surgery Fees: We will check your health fund & level of cover

There may be an out-of-pocket cost (gap) payable to Dr Kolt and/or your anaesthetist

Uninsured Patients: Will be charged according to the Australian Medical Association fee schedule

Hospital Fees: There may be a hospital excess payable

Additional Costs: You may be charged by external providers for casts / boots / crutches / etc

Full financial consent: provided prior to surgery

(02) 6952 1620 7am - 9pm EVERY DAY
CLICK BELOW

Direct Patient Access

Self Referral Form

Clinic Fees

Expert Injury Care for Griffith & Surrounding Areas