Cardiology
Bulk billedCardiology
Bulk billedChest pain, palpitations, abnormal ECGs, heart failure and blood pressure that will not settle.
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We are a bulk billing practice — all Medicare-eligible consultations are bulk billed. Some items, including privately purchased vaccines and consumables, attract a fee. Book on HotDoc, online or by phone on (02) 7813 6000.
A referral is more than a piece of paper. It carries your history, your medicines and the specific question your GP wants answered, which is what makes the specialist appointment worth the wait.
Three ways to book: HotDoc · online · or by phone.

Who you are sent to, and what they are told, changes how quickly you get an answer.
Medicare requires a GP referral before you can claim a rebate on most specialist consultations. Beyond the paperwork, a good referral summarises your history, lists your current medicines and allergies, includes relevant results, and states clearly what your GP is asking the specialist to assess.
For most conditions there is both a public hospital pathway and a private one. Public care through Westmead, Blacktown and Mount Druitt costs nothing but usually involves a longer wait, categorised by urgency. Private specialists are faster but carry an out-of-pocket cost that varies widely. Your GP will talk through both and can indicate likely waiting times.
If cost is a barrier, say so. There are specialists who bulk bill or reduce fees in some circumstances, and public clinics that see urgent cases quickly.
A standard GP referral to a specialist is valid for twelve months from the date of the first appointment, not from the date it was written. An indefinite referral can be issued for ongoing chronic conditions where continuing specialist care is clearly needed. Referrals to allied health under a care plan run on a different system.
If a referral has lapsed, book a short appointment. Medicare does not allow referrals to be backdated, so if you attend a specialist on an expired referral you may lose the rebate for that visit. A quick appointment beforehand avoids that.
The same appointment can generate requests for X-ray, ultrasound, CT or MRI, and referrals into hospital outpatient clinics, pre-admission services or public allied health.
Where our GPs most often refer, public or private.
Chest pain, palpitations, abnormal ECGs, heart failure and blood pressure that will not settle.
Book online →Complex skin lesions, difficult eczema and psoriasis, and lesions needing specialist excision.
Book online →Pregnancy shared care, heavy or painful periods, fertility questions and menopause management.
Book online →Endoscopy, colonoscopy, gallbladder, hernia and other general surgical assessment.
Book online →Complex mental health assessment, medication review and Medicare-rebated therapy.
Book online →Asthma and COPD that is hard to control, chronic cough and suspected sleep apnoea.
Book online →From appointment to specialist waiting room.
Referrals need a consultation. Your GP has to assess the problem before they can refer, and Medicare requires it.
Your GP explains likely waiting times and costs for each pathway, and names specialists they trust for your problem.
Most referrals are sent electronically or given to you as a letter. Results and medicine lists are attached.
Call the rooms yourself, or the clinic contacts you for public referrals. Bring the referral if it was given to you.
All three GPs refer across the Western Sydney network and privately.

Skin cancer checks and minor procedures, men's health, mental health and family medicine.

Women's health, children's health and skin conditions.

Chronic and complex conditions, heart, gut and kidney health, weight management.

Mental health, chronic illness, disability care and general family medicine.
The GP appointment to arrange a referral is bulk billed for patients with a valid Medicare card. What the specialist charges is set by them, not by us.
Full fee guide
Standard GP consultations at Toongabbie Doctors are bulk billed for patients with a valid Medicare card, so there is no out-of-pocket cost to see your doctor.
Common questions about referrals.
No. Medicare requires that your GP assess you before referring, and a referral written without an assessment would not be safe or valid.
Twelve months from your first visit to that specialist, unless your GP marks it indefinite for an ongoing condition. Specialist-to-specialist referrals last three months.
Yes. If you or your family have seen someone before and want to go back, tell your GP and the referral will be addressed to them.
Tell us. Your GP can sometimes escalate a public referral with a clinical update, or suggest an alternative provider with shorter waiting times.
For ongoing specialist care, ask your GP about an indefinite referral. Otherwise a fresh referral is needed once the twelve months lapse.
Book a bulk billed appointment and leave with the referral, the results attached and a realistic idea of the wait.
Three ways to book: HotDoc · online · or by phone on (02) 7813 6000.