Electronic Referral Form

The electronic referral form is a straightforward, easy to use, referral template developed for physicians and surgeons referring to Genesis CancerCare Victoria. 

Specialists are encouraged to use this simple referral form as it does not take any more time to generate than a traditional referral letter and alleviates any legibility issues. The form can be emailed or faxed direct to the radiation oncologist or the patient can bring the form with them to their first appointment.

The Electronic Referral template includes:

  • Referrer and Referee information (including information necessary for secure electronic referral)
  • Preferred centre for treatment (St Vincent's, Casey, Epping, Footscray, Frankston, Ringwood or Albury Wodonga)
  • Patient Information (basic patient demographic information)
  • Reason for referral

Please download the GenesisCare Victoria (includes ALL centres and doctors) electronic referral form here.

Please download the GenesisCare St Vincent's Radiation Oncology referral form here.

Please download the GenesisCare Cabrini Radiation Oncology referral form here.

Please download the GenesisCare Victoria skin cancer treatment referral form here.

Referral letters can be faxed to the relevant site where you wish your patient to be seen (see list below) or emailed to your consulting radiation oncologist.

GenesisCare Victoria Centre Location Map

GenesisCare Radiation Oncology Centre St Vincent's
Tel: 03 9427 6500
Fax: 03 9427 6510

GenesisCare Radiation Oncology Centre Cabrini

Tel: 03 9597 2700
Fax: 03 9597 6910

GenesisCare Radiation Oncology Centre Berwick
Tel: 03 8794 2700
Fax: 03 8794 2710

GenesisCare Radiation Oncology Centre Frankston
Tel: 03 9781 8200
Fax: 03 9781 8282

GenesisCare Radiation Oncology Centre Ringwood
Tel: 03 8870 3300
Fax: 03 8870 3388

GenesisCare Radiation Oncology Centre Footscray
Tel: 03 9319 3200
Fax: 03 9319 3232

GenesisCare Radiation Oncology Centre Epping
Tel: 03 9409 8000
Fax: 03 9409 8080

GenesisCare Radiation Oncology Centre Albury Wodonga
Tel: 02 6043 7800
Fax: 02 6024 1418

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Genesis Logo Small.pngGenesisCare is Australia’s leading provider of radiation oncology, cardiology and sleep treatments. We exist to fill the treatment gap for the biggest disease burdens in Australia - cancer and heart care - in an environment of substantial unmet demand from an ageing population. Click here to learn more