Referral Forms

Where greater detail inspires greater confidence

Referrers

To refer a patient to SO+GI Scan, the below referral forms can be used.  These can be printed and completed on paper, or they can be filled out online then printed or saved and emailed to sogi@i-med.com.au

Most patients will require the General Referral Form.  Please specify the scan, procedure and/or genetic counselling required, and the reason for the referral. 

The NIPT Referral Form is for those patients who require NIPT at SO+GI Scan. NIPT is done in conjunction with either a dating scan at 10+3 weeks, an NT scan at 12+3 – 13+5 weeks with the possibility of pre-eclampsia screening, after a high risk CFTS elsewhere, or after a scan finding or for reassurance. NIPT consultations will also include a discussion with a genetic counsellor.

If you would like to discuss the most appropriate scan, procedure and/or genetic counselling for your patient, you can contact us on the below contact form, email us at sogi@i-med.com.au or call on 07 3120 4200.