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At QCG, our aim is to keep services accessible and waiting times as short as possible. By uploading your referral letter below, our cardiologists will prioritise appointments to ensure any urgent problems are assessed promptly, and all referrals are seen in a timely manner. If you already have an appointment booked but think you have a problem that requires more urgent attention, please see your GP who can then contact us to arrange an earlier appointment.

Please note: items marked * indicate mandatory fields.

Personal details
Contact Details
Please enter phone number with area code included. No spaces please. eg. 0298765432
Please enter phone number with area code included. No spaces please. eg. 0298765432
Please enter mobile number. No spaces please. eg. 0412345678
Appointment Details
We will endeavour to schedule your appointment on your preferred date at your preferred time, however we cannot guarantee the availability of our Doctors at this time. We thank you for your understanding.
Document uploads
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png txt rtf pdf doc docx.

Please click the Continue button, then review details before submitting the form.