Referral Forms

Please request a Referral and Health Summary from your regular doctor in advance of your appointment.


If you’re unable to get a Referral from your doctor, you can simply call the clinic reception at your doctor’s office and ask that a Health Summary be emailed to or sent via ReferralNet to MiDispensary.


Please ensure your Health Summary states your diagnosed chronic condition and medications you have trialled.  Please note, we do not need your entire medical history.