DR. Kaushik Kumar

Dear doctors, thanks you for considering our services. We accept referral through Medical Objects.

Alternative you can send referral by:

Email: reception@drkkumar.com.au
Fax: 07 3041 5082

Online referral form:

Choose a consulting location

Referring GP/Specialist Details:

Name

Provider number

Practice name

Practice address

Contact Number

Patient Details:

First Name

Last Name

Date of birth

Patient’s Email

Medicare Card Number

Private Health Fund

Patient’s clinical conditions/ details

Document Upload:

Upload relevant documents like scanned referral, report, certificate ( Max five document) Allowed file types: gif, jpg, png, doc, docx, pdf
File size: ? 3MB

Referrers

Online referral form:

Choose a consulting location

Referring GP/Specialist Details:

Patient Details:

Document Upload: