Referrals QHRC welcomes all consulting and testing referrals via medical objects, email, fax or the referral form below. For all bookings and general enquiries, please call 07 3200 7377 Referral Form Please enable JavaScript in your browser to complete this form.Patient's Full Name *FirstLastPatient's Phone Number *Date of Birth (dd/mm/yy) *Address *Medicare Number *Reason for Referral *Documented arrythmiaSuspected arrhythmiaOtherArrhythmia (if known) *Atrial fibrillationAtrial flutterSVTVentricular ectopyVentricular tachycardiaOtherReferral Notes *Doctor's name (E-signature) *Provider Number *Doctor's Phone Number *Practice & Address *Submit Referral DOWNLOAD THE REFERRAL FORM Email – admin@drdwivedi.com.au Fax – (07) 3200 7388 Online Referral Form Email – reception@qhrc.com.au Fax – (07) 3200 7388 Online Referral Form Greenslopes Heart Centre Suite 12 Newdegate Street Greenslopes QLD 4120 Phone: 07 3394 1777 Fax: 07 3394 1377 Redland Heart Centre 119 Queen Street Cleveland QLD 4165 Phone: 07 3821 5322 Fax: 07 3821 7277 Logan Heart Centre 5/11 Logandowns Drive Meadowbrook QLD 4131 Phone: 07 3200 7377 Fax: 07 3200 7388