Referral Forms - Gastrolab Hydrogen/Methane Breath Test

Referring Doctors and Health Practitioners can download and print out the following referral forms for their patients to attend a Gastrolab Clinic in their State

GASTROINTESTINAL (IBS/IBD) DIAGNOSTIC PANEL
- TEST REQUEST [PDF FORMAT]

Dorevitch Pathology

MELBOURNE & VIC
Gastrolab Patient Referral Form: PDF
Hydrogen & Methane Breath Tests

Laverty Pathology

SYDNEY & NSW / Canberra & ACT
Gastrolab Patient Referral Form: PDF
Hydrogen & Methane Breath Tests

QML Pathology

BRISBANE & QLD
Gastrolab Patient Referral Form: PDF
Hydrogen & Methane Breath Tests

Abbott Pathology

ADELAIDE & SA
Gastrolab Patient Referral Form: PDF
Hydrogen & Methane Breath Tests

Western Diagnostic Pathology

PERTH & WA / NT
Gastrolab Patient Referral Form: PDF
Hydrogen & Methane Breath Tests


Personalised e-referral forms are available for health practitioners by request via This e-mail address is being protected from spambots. You need JavaScript enabled to view it


[Last Updated: May 2018]

Contact Us

Phone: 1300 624 771
Fax: (03) 9331 4198
Email: enquiries@gastrolab.com.au

Head Office: Level 1 456 Lower Heidelberg Road Heidelberg VIC 3084

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Breath Testing - Sydney (NSW)

Breath Testing - Canberra (ACT)

Breath Testing - Perth (WA)

Breath Testing - Brisbane (QLD)

Breath Testing - Adelaide (SA)