Online Specialist Referral

Tell your HelloGP Doctor more.

Please provide any additional details to help the doctor understand the purpose of your appointment.

Optional file upload (Photos, Scans, Reports, etc)

Maximum file size: 10 MB

Drag 'n' drop some files here, or click to select files

When would you like to receive your consultation? *

As Soon As Possible Priority (Approx within next 30 mins) Schedule Later

Please choose a consultation time.

Preferred date *

Please pick a date (tomorrow or later).

Preferred time slot

Please pick a time slot.

Sub Total: A$ 0.00

Patient Details

First name *

Please enter your first name.

Last name *

Please enter your last name.

Email *

Please enter a valid email address.

Mobile number *

Please enter a valid 10-digit mobile number.

Please enter a correct, active number. Your doctor will call this number; missed appointments due to incorrect number are non-refundable and must be rebooked.

Sex assigned at birth *

Male Female Preferred Not To Say

Please select an option.

Date of Birth *

Please enter your date of birth.

Residential address *

Please enter your residential address.

Please Select *

I have Medicare I don't have Medicare

Please select an option.

Payment Details

After payment, the doctor will contact you at the provided mobile number or send a video link via SMS. Please keep your phone handy.

Standard Consultation

Total:A$ 0.00

Press “Pay Now” — a secure Stripe window will open for your card details.