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Genetic Health Queensland Form
E-Mail GHQ health. qld. gov*au Post ROYAL BRISBANE WOMEN S HOSPITAL HERSTON QLD 4029 IF URGENT PLEASE PHONE 07 3646 1686 TO DISCUSS WITH THE ON-CALL REGISTRAR Patient/family aware of referral Consultant / Speciality Translator Required Referring Doctor Language Provider Number Contact Number Urgent Non-Urgent Pregnant Ward review Clinical Information Required V3. 00 - 01/2015 Locally Printed Reason for referral 00201 60380 MR 60380 Diagnosis relevant family history Doctor s Name Designation...
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