Referrers

Using this electronic form, a medical professional can directly refer a patient to Dr Kieran Muir. We are also happy to receive referrals via traditional methods (i.e. Healthshare, Fax)

Please visit our locations page for specific details. If you are referring from a hospital, please include your department head or consultant details.

This form is encrypted end-to-end to ensure the security of your personal information. All data submitted will be handled in accordance with Australian privacy laws and guidelines to protect your privacy. Your information will be stored securely and used only for the purpose intended.