Referral Forms

Home Referral Forms

Urgent Referrals

Please mark as URGENT at the top of the referrals and our team will triage it accordingly. ​

Referral Forms

Referrals for lung function tests can be made by faxing or sending the completed referral form (below link) to our office.Manse Medical staff will contact your patient to arrange a date and suitable location for their test.

Telehealth consultations can be arranged.

At home sleep tests are available nation-wide.

Guided Self-Assessment Quizzes

You can now complete the Stop Bang Questionnaire and Epworth Sleepiness Scale online. These are the same questions as the pdf above, however the results will be emailed to you.