Health professionals, pharmacies, clinics & NGOs

Refer a patient to CmyNP

For patient-requested referrals, ongoing care and transfers from a health professional, pharmacy, clinic, community or NGO service. OST/ODT is an optional care pathway, not a requirement.

1. Your referral details

Your name *

Your role

Clinic/organisation name *

Work email *

Your phone

2. Patient details

Patient full name *

Preferred name

Patient date of birth *

Patient phone

Patient email

Patient address

Medicare card number (optional)

Card reference number (IRN)

Card expiry (optional)

3. Health information & documents

Reason for referral, relevant history, medications or other health details (optional)

Supporting documents (optional)

Choose files to attachPDF, JPG or PNG • up to 10 files and 10 pages • 8 MB total. Originals are retained privately by CmyNP; page images are sent to the Halaxy chart. A separate signed form is not required for this referral.

4. What happens next?

Ready to book now, so please take me to the bookings pagePatient will contact CmyNP when readyPlease contact the patient

I confirm the patient agrees to this referral and to sharing the patient details, health information and documents provided with CmyNP.

This confirms the referrer's declaration, not a verified signed consent. Separate consent may be needed to retrieve records or share information with other agencies. Consent forms remain available. Only include information relevant to the referral.

Optional consent form for information sharing

Download referral consent form

Time-critical transfer or trouble uploading? Call 0424 260 578 or contact referrals@cmynp.com.au from your work email. CmyNP is not an emergency service; call 000 in an emergency.

For a patient still in custody: Justice & re-entry referrals

Check fees and bulk-billing eligibility.

CmyNP is an independent private Nurse Practitioner service, with no official financial affiliation to Queensland Health or Correctional Health Services.