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Clinical Immunology and Allergy - Royal North Shore Hospital

Level 3, Acute Services Building

Royal North Shore Hospital

Reserved Road

St. Leonards


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Clinical Immunology and Allergy - Royal North Shore Hospital

Contact us

Phone: 02 9926 4108

Fax: 02 9463 1058



Primary Immunodeficiency and Autoimmunity - Clinic 6, Ambulatory Care Centre

Paediatric Allergy, General Allergy - Clinic 3, Ambulatory Care Centre

HIV Clinic - Level 5, Community Health Centre

Drug Allergy & COVAX Clinic Anaesthetic Allergy - Clinic 6, Ambulatory Care Centre

Immuno-Ophthalmology - Clinic 4, Ambulatory Care Centre

Neuroimmunology - Clinic 6, Ambulatory Care Centre

Allergy - Clinic 3, Ambulatory Care Centre

Opening hours

  • Primary Immunodeficiency and Autoimmunity - Monday 13:00-17:00
  • Paediatric Allergy, General Allergy - Tuesday 08:30-12:30
  • HIV Clinic - Tuesday (every second week) 08:30-12:30
  • Drug Allergy & COVAX Clinic Anaesthetic Allergy - Wednesday 08:30-12:30
  • Immuno-Ophthalmology - Wednesday (every 3 months) 08:30-12:30
  • Neuroimmunology - Thursday (every first Thursday of the month) 13:00-17:00
  • Allergy - Friday 08:30-12:30

 What we do

The Department of Clinical Immunology and Allergy at Royal North Shore Hospital is based in Pathology North (Northern Sydney Division) and in the Acute Service Building and provides consultations, investigation and management of patients with allergy, autoimmune and immunological disorders. In addition to the provision of a seamless service, the department is also involved in education, research and collaborative activities with other departments within Royal North Shore Hospital and Pathology North.

The Immunology Service provides assessment and management of the following conditions:

  • Primary and acquired immunodeficiencies
  • C1 inhibitor deficiency
  • Autoimmune diseases/disorders such as SLE, Sjogren’s syndrome, vasculitis

The Allergy Service provides assessment and management of the following conditions:

  • Allergy/Anaphylaxis to drugs, insects, foods, covid-19 vaccination and unknown cause
  • Chronic urticaria and atopic dermatitis
  • Allergic rhinitis (hayfever)
  • Mast cell disorders
  • Asthma

The COVID Vaccine Allergy Clinic will accept referrals for patients with:

  • Documented or suspected allergy or anaphylaxis to one of the ingredients contained in the COVID-19 vaccine to be administered (Pfizer or Moderna – PEG or AstraZeneca – Polysorbate 80).
  • Anaphylaxis to a prior dose of a COVID-19 vaccine.
  • Delayed reactions to a COVID-19 vaccine with significant organ involvement.
  • Symptoms suggestive of IgE-mediated reaction (<4 hours) to a previous dose of a COVID-19 vaccine.
  • A history of confirmed monoclonal mast cell disorder with anaphylaxis that requires treatment

Treatments and Procedures: 

  • Allergy testing- skin prick testing, intradermal testing, patch testing
  • Administration of allergen immunotherapy (sublingual or subcutaneous)
  • Patient training on administration of biologic agents for asthma, chronic urticaria and atopic dermatitis
  • Drug skin testing, challenges, penicillin delabelling (inpatient or outpatient)
  • Drug desensitisation (inpatient)
  • Oral food challenge
  • Subcutaneous Immunoglobulin (SCIg) administration and training
  • Berinert administration and training

 What to bring

Please ensure you bring the following items/documents to your appointment

  • Images/Scans
  • Blood results
  • Results of any investigations
  • List of current medications
  • Medicare Card

 When to visit us

 How to visit us

Exit off Pacific Highway and the M1 will take you to the hospital on Reserve Road in St Leonards.

Bus Route 114 stops directly at the hospital.

The hospital is close to St Leonards Train Station

The hospital is a 5 minute walk from St Leonards Station

Street and multi storey car parking are available on the Royal North Shore hospital campus. Fees apply, so please check signage. Concession parking rates are available for patients and carers. Click here for more details.

 Referral information

Referrals from the below providers will be accepted for this service.

  • GP referral
  • Medical referral

Information for referrer:

  • To refer, send referral letter addressed to Professor Suran Fernando and Associates via fax or email.
  • For urgent referrals, contact RNSH Switch board (02) 9926 7111 and ask for immunologist on call.

All referrals must include patient’s details including:

  • Name, address, telephone number, date of birth
  • Medicare/Department of Veterans’ Affairs number
  • the reason for referral
  • clinical findings
  • results of any investigations
  • treatment to date
  • provisional diagnosis
  • allergies and adverse reactions
  • any significant medical history, medications and relevant social information
  • Please indicate preferred language if an interpreter is required.

 Other information

Is there a cost to patients to attend the clinic?

Outpatient clinic appointments are bulk billed and there is no additional charge for patients with Medicare Card.