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: August 2016]

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
*New Address as of June 2, 2016

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Breath Testing - Sydney (NSW)

Breath Testing - Canberra (ACT)

Breath Testing - Perth (WA)

Breath Testing - Brisbane (QLD)

Breath Testing - Adelaide (SA)