Sydney

GP Referral for Dr Bish Soliman

Please use the GP Referral Form below or you can

email your Referral to admin@drbish.com.au or fax to 1800 DR BISH (37 2474).

Please provide any further Information that would be helpful

Patient Clinical Information such as

1. Detailed Concerns / Symptoms
2. Duration of Symptoms
3. Patient Management to date and response to treatment
4. Past medical history
5. Current medications and medication history if relevant
6. Functional status and capability
7. Psychosocial history and any Mental Health issues
8. Allergies & Dietary status
9. Family History
10. Diagnostic tests completed and any results.