Telehealth

Online pathology request form

Fast and convenient support for medical practitioners offering telehealth consultations. Practitioners wishing to use our online pathology request form for telehealth consultations, please follow the steps below. Please be aware that patients without a valid Medicare card may incur an out-of-pocket fee for tests requested.

Download telehealth form

Download telehealth form

Download telehealth form

Download telehealth form

Download telehealth form

Download telehealth form

Telehealth process

STEP 1

Download form

Download and save the Online Pathology request form to your computer or mobile device.

STEP 2

Complete form

Open the Pathology Request form in Adobe Reader and complete with the following information:

Relevant patient information including date of birth and contact phone number
Tests requested and clinical history
Name of person making the request
Provider number and name of medical practiceDate of request

No referrer signature is required.

STEP 3

Email the form

Email the completed request form to your patient. Please also keep your own record of the services requested.

STEP 4

Attend a collection centre

Your patient must PRINT the completed request form and attend one of our collection centres.