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(08) 9246 2314
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    • Mini Gastric Bypass
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  • Program Costs
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Hollywood Private Hospital

85 Monash Ave Nedlands WA 6009 Australia
Get Directions (08) 9246 2314
Contact Us Today
Business Hours
Mon-Fri:
8:00am
-
6:00pm
  • Home
  • About Us
    • Our Team
  • Weight Loss Surgeries
    • Gastric Sleeve
    • Gastric Bypass
    • Mini Gastric Bypass
    • SADI-S
  • Before & After Gallery
  • Program Costs
    • Gastric Sleeve
    • Mini Gastric Bypass
    • Sleeve Bypass Surgery
    • Gastric Bypass
  • Patient Information
    • Care4Now App – Your Ultimate Surgical Companion
    • Am I A Candidate?
    • News & Articles
    • Video Hub
    • Our Care Plan
    • Patient Interviews
    • What To Expect
    • Recipes
    • Finance Options
    • Share Your Patient Journey
  • Contact Us
  • For Doctors
Call Us (08) 9246 2314
Book a Consultation
For Doctors

Interested in referring one of your patients?

Please fill in your details and those of your patient below. 

Home / For Doctors

PATIENT REFERRALS PERTH

Patient Referral Forms For Doctors

Patient Referral Forms

We invite you to use our online patient referral form for your patients.

Please note, this form should be used by referring medical practitioners only.

  • Patient Details

  • MM slash DD slash YYYY
  • Doctor Details

  • Max. file size: 2 GB.
  • Max. file size: 2 GB.

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Get in touch

Contact Dr Kevin Dolan and his multidisciplinary team of physicians, dieticians, psychologists and nurses to find the best weight loss solution for you. 

Contact Our Team
Hollywood Private Hospital
For Doctors
85 Monash Ave Nedlands WA 6009 Australia
(08) 9246 2314
Mon-Fri:
8:00am
-
6:00pm
85 Monash Ave Nedlands WA 6009 Australia
[email protected]
Saint John of God Hospital
For Doctors
12 Salvado Road Subiaco WA 6008 Australia
(08) 9246 2314
Mon-Fri:
8:00am
-
6:00pm
12 Salvado Road Subiaco WA 6008 Australia
[email protected]
Glengarry Private Hospital
For Doctors
53 Arnisdale Rd Duncraig WA 6023 Australia
(08) 9246 2314
Mon-Fri:
8:00am
-
6:00pm
53 Arnisdale Rd Duncraig WA 6023 Australia
[email protected]
WALOS Consulting Rooms
For Doctors
42-44 Arnisdale Road Duncraig WA 6023 Australia
(08) 9246 2314
Mon-Fri:
8:00am
-
6:00pm
42-44 Arnisdale Road Duncraig WA 6023 Australia
[email protected]
Hollywood Private Hospital
(08) 9246 2314
Mon-Fri:
8:00am
-
6:00pm
85 Monash Ave Nedlands
WA 6009 Australia
[email protected]
Saint John of God Hospital
(08) 9246 2314
Mon-Fri:
8:00am
-
6:00pm
12 Salvado Road Subiaco
WA 6008 Australia
[email protected]
Glengarry Private Hospital
(08) 9246 2314
Mon-Fri:
8:00am
-
6:00pm
53 Arnisdale Rd Duncraig
WA 6023 Australia
[email protected]
WALOS Consulting Rooms
(08) 9246 2314
Mon-Fri:
8:00am
-
6:00pm
42-44 Arnisdale Road Duncraig
WA 6023 Australia
[email protected]

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