Refer a patient to Marie Stopes

There are several ways to refer a patient to Marie Stopes Australia. In Western Australia, it is a legal requirement for any person seeking an abortion to have a letter stating they discussed their decision to terminate with their doctor.

In most other states and territories, clients can self-refer but it can assist with timely access to have a formal referral and any clinical investigations performed provided to us.

We have the following options, to help make referring to our services simple and easy.

1. Paper based referrals

  1. Download and print a referral form 178KB PDF (all patients)
  2. Download and print a WA public patient referral form 128KB PDF (WA Health catchment patients only)
Order referral pads

2. Referrals using your practice management system

You can upload referral templates into your system using the rich text format documents below.

Do not open these templates in Word, as this will prevent them from working properly. Please right-click on the link and select the download option or ‘Save As’.