№ lp_2_1_12832
Administrative medical referral form issued by the Women’s and Children’s Health Network for requesting paediatric hearing assessment through the Children’s Audiology Service in South Australia.
Version: 3.4
Date revised: June 2024
Organisation: Women’s and Children’s Health Network
Service: Children’s Audiology Service – Hearing Assessment Service
Address: 295 South Terrace, Adelaide SA 5000
Telephone: 08 8303 1530
Fax: 08 8303 1640
Region: South Australia
Country: Australia
Document type: Medical referral form
Subject: Paediatric hearing assessment
Target group: Children requiring audiological assessment
Referral sources: Medical Practitioner; Universal Newborn Hearing Service; CaFHS Nurse; Child Development Unit; Department of Child Protection; SA Health Audiologist; ENT Nurse Practitioner
Submission methods: HealthLink eReferrals; fax; post; email
Available venues: Adelaide; Berri; Kingscote; Murray Bridge; Mount Gambier; Port Augusta; Port Lincoln; Port Pirie; Wallaroo; Whyalla
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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