Melbourne Paediatric and Allergy Centre


For Doctors

Patients can be referred directly to our practice conveniently using the form below. This will be sent directly to staff. A copy will also be emailed to the address provided. Forms are sent using standard email security protocols. If you have any concerns, please phone the practice directly.

Alternatively, patients can be referred to Dr Pinczower by printing the referral below and faxing to (03) 9543 9605. We are happy to contact your patient.

Receives copy of this referral

Parent / Guardian Details

Patient Details

dd / mm / yyyy

Max 1000 characters

Click to select file


You may also print this form and fax a copy to (03) 9543 9605.

Useful Links  

Australasian Society of Clinical Immunology and Allergy (ASCIA)

Royal Children's Hospital

Dermnet NZ

71 Kooyong Road
Caulfield North VIC 3161
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