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Doctor Examining CT Scan

At Melbourne Neurodiagnostics, we’re committed to providing timely, compassionate care for every child. We welcome referrals from GPs, Paediatricians, and Neurologists for EEG testing.

To ensure a smooth and prompt experience, please complete the Online Referral Form below.

Prefer a Manual Submission?

If you'd rather refer via fax or email, follow these simple steps:

Download the PDF Referral Form and submit the completed form via 📧 Email: contact@melbourneneurodiagnostics.com  or 📠 Fax: 03 9125 8910

EEG Referral Form

Patient's Details

Gender

Contact Details (Patient/guardian/carer)

Service Required
Routine EEG
Sleep deprived EEG
Ambulatory 24Hr EEG
Home Video-EEG Monitoring
Other
Patient Type

Referring Doctor's Details

 Find Us Here

📞 Phone: 03 9088 4684
📠 Fax: 03 9125 8910
📧 Email: contact@melbourneneurodiagnostics.com
🏥 Address: 250 Victoria Parade, East Melbourne VIC 3002

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We honour the Wurundjeri Woi Wurrung people of the Kulin Nation as the Traditional Owners of the land where we live, work, and care for others. We recognise their enduring relationship with the land, waters, and community, and acknowledge their ongoing contributions to culture and knowledge.

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