Indications for referral for clinic appointment
Diagnosis
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Referral accepted under these circumstances
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Non melanoma skin cancer
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Biopsy proven
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Epidermoid cyst (sebaceous cyst)
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If history of infection
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Chronic or non-healing wounds
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With biopsy and swab
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Melanoma
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Biopsy proven – refer urgently by phoning Plastics Registrar through RNSH switch (9926 7111)
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Lipoma
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Affecting function
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Breast reconstruction
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After trauma or cancer
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Ear deformities
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Congenital and acquired, excluding split ears following piercing
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Subcutaneous foreign bodies
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Associated with infection or pain
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Chronic osteomyelitis
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If you have concerns about a patient’s ability to afford surgery that would significantly improve their quality of life but does not meet the above criteria, please contact one of our plastic surgeons directly.
Indications for urgent referral to local Emergency Department
- Suspected facial fracture
- Burns
- Acute osteomyelitis
Exclusion criteria
- Benign skin lesions
- Lipoma not affecting function
- Breast reduction other than related to breast cancer reconstruction
- Abdominoplasty
- Epidermoid cyst (sebaceous cyst) with no history of infection
- Cosmetic procedures
Out of NSLHD
- Reason must be stated explicitly
- Resident of other LHD that does not provide the clinical service
- Continuing care of existing condition already managed by NSLHD
- Demonstrated complexity requiring services of NSLHD
- Compassionate circumstances, e.g. family, proximity, staff
The following information must be included for referral to be accepted:
- Description of condition/lesion
- History of symptoms, including duration, progression and response to any treatments tried
- Relevant pathology and imaging, including histopathology in the case of skin cancers
Providing more information will aid the triage process and make it more likely that your patient will be seen in the most timely manner possible
Please submit referrals using the eReferral system through HealthLink, which can be accessed through most clinical software systems
Alternatively, address letters to Dr Rowan Gillies, or one of the surgeons listed in Other Information (below)
Fax (02) 9463 1065
Email: [email protected]
Referrals will be triaged and your patient will be notified of the outcome as soon as possible. This process may take between 1-4 weeks. You will be contacted if more information is needed.
Telehealth services are available, please indicate on the referral if you feel this would be suitable for your patient’s appointment.