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.
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.
|Autoimmunity and Immunodeficiencies||Systemic autoimmune disease||Autoimmunity and Immunodeficiency Clinic|
|||Primary and acquired immunodeficiencies||Autoimmunity and Immunodeficiency Clinic|
|Drug hypersensitivities||Including consideration of delabelling for penicillin allergy||Drug Allergy Clinic|
|Anaphylaxis||Perioperative anaphylaxis and reactions||Anaesthetic Allergy Clinic|
|||Anaphylaxis of any cause||General Allergy Clinic (Paediatrics and Adults)|
|Atopic Disease||Including 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 MDT||Complex neuroimmunological conditions that require input from multiple specialties||NeuroImmunology Clinic |
|||Complex immunoOphthalmological conditions that require input from multiple specialties||ImmunoOphthalmology Clinic|
The RNSH Immunology Clinic is unable to provide a service for the following:
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
|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|
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.
|Dr Suran Fernando||Autoimmunity, general allergy||No private rooms|
|Dr Claire Nickolls||Paediatric allergy|
Suite 10, Level 3,
North Shore Private Hospital, St Leonards|
Ph: (02) 8052 4199
Fax: (02) 8097 0664
|Dr Sheryl van Nunen||General allergy|
40 Johnson St, Chatswood
Ph: (02) 9412 4322
Fax: (02) 9412 1694
|Dr Jamma Li||Autoimmunity, general allergy|
Gordon Eye Surgery
2/741 Pacific Hwy, Gordon
Ph: (02) 9418 1488
Fax: (02) 9418 4392