Online Referral Portal Referring is now easier than ever Podiatry Referral Please enable JavaScript in your browser to complete this form.Location *Wagga WaggaAlbury/WodongaOtherPatient Name *FirstLastPatient Contact Number *What is the nature of your referral *OrthoticsFoot PainSWIFT Microwave Wart TherapyShockwave TherapyPre Surgery ManagementPost Surgery ManagementIngrown Toenail SurgeryFootwearGeneral Foot CareDiabetes Neurovascular AssessmentOtherClinically Relevant DetailsReferral Document Upload Click or drag files to this area to upload. You can upload up to 5 files. If you have any additional items for this patient including; imaging results, EPC referrals, etc. please upload here. PDF is the recommended format.Referrer DetailsFirstLastProfessional TitleReferrer EmailSubmit
