Referral Resources

CBRS Referrals

Referrals to the CBRS will be managed by Townsville Hospital and Health Service and triaged through a central referral hub TSV-Alliancerehabilitation@health.qld.gov.au fax to (07) 4433 2521 or complete online here. If you require an account please contact us.

All Other Referrals

For all other referrals, please email to reception@alliancerehab.com.au or fax to (07) 4771 6971

Closeup of blood pressure test

CBRS

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CBRS Participant Referral Form
Download 238.66 KB
 
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CBRS Participant Referral Form PDF
Download 267.21 KB
 
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CBRS Participant Referral Form RTF
Download 15.13 KB

Driving

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Driving Assessment Referral Form
Download 92.00 KB
 
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Driving Assessment Referral Form PDF
Download 170.98 KB
 
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Driving Assessment Form RTF
Download 39.74 KB
 
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Medical Cert for Motor Vehicle Driver (F3712)
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NDIS

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NDIS Referral Form
Download 235.83 KB
 
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NDIS Referral Form PDF
Download 358.25 KB
 
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NDIS Referral Form RTF
Download 11.21 KB

Private, DVA, WorkCover

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Private Corporate Referral Form
Download 234.15 KB
 
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Private Corporate Referral Form PDF
Download 267.08 KB
 
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Private Corporate Referral Form RTF
Download 5.50 KB

Online Referral

Online referral form for Townsville Hospital. If you don’t have an account please call us on 07 4772 1219 or send an Enquiry

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