Refer to Oqea Cares - Creating Connected Wellbeing

Refer to a Psychologist at Oqea Cares

Upload referral documents

Upload your existing referral letter and any associated documentation
including a Mental Health Treatment Plan for your patient.

Your upload(s):

Your practice details

Title

First Name *

Last Name *

Provider Number

Practice Name *

Address *

State *

Suburb *

Post Code *

Email *

Contact Number *

Client/patient details

First Name *

Last Name *

Date of Birth *

Male

Female

Other

Gender *

E-mail *

Mobile Phone *

Medicare

Medicare Reference

Medicare expiry

Address *

State *

Suburb *

Post Code *

Reason for Referral *

After the referral is sent, we will notify the Oqea Cares referral admin, email you a copy of the referral, and email the referred client with some information about Oqea Cares.