This clinic offers assessment and management of auto immune disorders, immuno deficiency, general allergy, drug allergy, paediatric allergy and HIV.

The service is primarily an outpatient-based service. All clinics, except the HIV clinic, are located in the RNS Hospital Ambulatory Care Centre. The HIV clinic operates from Clinic 16 located on level 5 at the RNS Community Health Centre.

Royal North Shore Hospital provides the following Immunology clinics:

  • Anaesthetic Allergy Clinic
  • Autoimmunity and Immunodeficiency Clinic
  • Drug Allergy Clinic
  • General Allergy Clinic (Paediatrics and Adults)
  • NeuroImmunology Clinic (referrals from Neurologists and Immunologists)
  • ImmunoOphthalmology Clinic (referrals from Ophthalmologists and Immunologists)

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Referral

A valid GP or Specialist referral is required for all services provided in this clinic – please visit your GP for an assessment if you feel a referral may be required. If you are a GP or Specialist wishing to make a referral, please use the below contacts.

Mandatory referral information

All Immunology referrals must include a consultant being referred to in RNSH outpatients. If unsure, please address to Dr Suran Fernando and Associates.

All referrals must include patients details, provisional diagnosis and reason for referral, finding/treatment to date, how this affects the patient, significant medical history, list of medications and relevant social information. Please indicate if an interpreter is required and the preferred language.

Please attach results of any investigations to the referral and ensure the patient brings hard copies to their appointment. This will help avoid unnecessary duplication of tests, additional appointments and delay.

Referrals with insufficient information will be returned to the GP until further information is provided to the clinic.

Urgent cases

If you are a GP or Specialist and feel your patient may require an urgent referral, please phone the RNSH switchboard on 02 9926 7111 and ask for the Immunology Registrar on call or ask the patient to present to our Emergency Department. Conditions requiring urgent referral include:

  • Acute anaphylaxis
  • Systemic autoimmune disease with end organ damage
  • Immunodeficiency with severe infection  
  • Risk of rapid deterioration

For life threatening medical emergencies please call 000.

Indications for referral

For referrer use only. Any patients who feel they may require a referral must be assessed and referred by their GP if appropriate.

Presenting complaintWhen to ReferRNSH Clinic
Autoimmunity and ImmunodeficienciesSystemic autoimmune diseaseAutoimmunity and Immunodeficiency Clinic
Primary and acquired immunodeficienciesAutoimmunity and Immunodeficiency Clinic
Drug hypersensitivitiesIncluding consideration of delabelling for penicillin allergyDrug Allergy Clinic
AnaphylaxisPerioperative anaphylaxis and reactionsAnaesthetic Allergy Clinic
Anaphylaxis of any causeGeneral Allergy Clinic (Paediatrics and Adults)
Atopic DiseaseIncluding eczema, allergic rhinitis and asthma, refractory to primary management and requiring further investigation (skin testing) and management (including immunotherapy)General Allergy Clinic (Paediatrics and Adults)
Complex cases requiring MDTComplex neuroimmunological conditions that require input from multiple specialtiesNeuroImmunology Clinic
Complex immunoOphthalmological conditions that require input from multiple specialtiesImmunoOphthalmology Clinic

The RNSH Immunology Clinic is unable to provide a service for the following:

  • Pruritus
  • Chronic fatigue syndrome

Out of Area Referral

The clinic provides services to patients living within the Northern Sydney Local Health District. Exceptions to this are outlined below.

Resident of Northern Sydney Local Health District Catchment ​Yes - referral accepted at RNSH
Referral from other specialist, for specialist opinion​Yes - referral accepted at RNSH
Resident of other Local Health District that DOES NOT provide the clinical service e.g. rural, outer metro​Yes, but service or problem needs to be documented on referral
Continuing care of existing condition we already manage​Yes, provided existing or related condition documented on referral
Demonstrated complexity requiring services of Royal North Shore Hospital Ambulatory Care Centre​Yes but must be explicitly documented on referral
Compassionate circumstances (e.g. family proximity)​Yes but must be explicitly documented on referral
Resident of other Local Health District that offers the service​Refer to your Local Health District


Check if the home address is within Northern Sydney Local Health District here: https://www.health.nsw.gov.au/lhd/Pages/lhd-maps.aspx

RNSH consultant referral options

The following Immunologists work at RNSH. Some have private rooms, which patients can be referred to and usually have a shorter waiting period. There will likely be an out of pocket cost for the consultation at the private rooms.

Consultant Specialty areasLocation of rooms
Dr Suran FernandoAutoimmunity, general allergyNo private rooms
Dr Claire NickollsPaediatric allergy

Suite 10, Level 3,
North Shore Private Hospital, St Leonards|
Ph: (02) 8052 4199
Fax: (02) 8097 0664

Dr Sheryl van NunenGeneral allergy

Allergy Consulting
40 Johnson St, Chatswood
Ph: (02) 9412 4322
Fax: (02) 9412 1694

Dr Jamma LiAutoimmunity, general allergy

Gordon Eye Surgery
2/741 Pacific Hwy, Gordon
Ph: (02) 9418 1488
Fax: (02) 9418 4392

 

 

Address - Allows authors to enter rich text content.  Address

Clinic 3, level 3, Ambulatory Care Centre Royal North Shore Hospital
St Leonards NSW 2065

Finding Us: Enter through the hospital main entrance (level 3). Turn right after the flower shop and present at the Ambulatory Care Centre reception. They will direct you to the correct clinic.

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Open Hours - Allows authors to enter rich text content.  Open Hours

Anaesthetics allergy clinic: Wednesday 9am-12pm

Autoimmunity and immunodeficiency clinic: Monday 1pm-5pm

Drug allergy clinic: Tuesday 8.30am-12.30pm

General allergy clinic (adult): Tuesday 8:30am-12.30pm | Friday 8.30am-12.30pm

Paediatric allergy: Friday morning from 8.30am

Contact Us - Allows authors to enter rich text content.  Contact Us

For patients

Phone: (02) 9926 4108

Fax: (02) 9463 1058

For referrers

Clinic Location:
Ambulatory Care Centre
Check-in B, Level 3, Royal North Shore Hospital, Reserve Road St Leonards 2065

HIV Clinic Location:
Clinic 16, Level 5, RNSH Community Health Centre, St Leonards 2065

Postal Address:
Allergy/Immunology Department
Clinical Administration 3E, Royal North Shore Hospital, Reserve Rd, St Leonards 2065

Urgent referrals: please contact the RNSH Switchboard on (02) 9926 7111 and ask to speak to the on-call registrar

Routine referrals: Fax a referral letter to (02) 9463 1058