If any of the following are present or suspected, please refer the patient to the emergency department (via ambulance if necessary) or seek emergent medical advice if in a remote region.



  • Any fall occasioning serious trauma (including fractures, major soft tissue injury, head strike or concussion) that cannot be managed in primary care
  • Frequent falls (more than one every few days)


  • Any condition defined by other CPCs as requiring referral to emergency
Useful Management Information
  • A history of falls in the past year is the single most important risk factor for falls and is a predictor for further falls.
  • Older people reporting a fall or considered at risk of falling should be observed for balance and gait deficits.  They should be considered for interventions that improve strength and balance.
  • Consider referral to clinical pharmacist for Home Medical Review if evidence of polypharmacy.
  • Consider referral to specialist falls clinic (if available) if patient has suffered multiple falls with no cause found.
  • Depending on specialist availability, patients with falls can be referred to either general medicine or geriatric medicine.  In the setting of multiple geriatric syndromes, referral to geriatric medicine may be preferred.
  • The following links to cognitive assessment tools may be useful:
  • Evidence for fall prevention strategies:
    • exercise
    • high dose vitamin D
    • psychoactive medication withdrawal (particularly antidepressants, antipsychotics and benzodiazepines)
    • occupational therapy home visit
    • restricted multifocal spectacle use
    • expedited cataract surgery (where required)
    • podiatry assessment and intervention
    • multifactorial assessment with targeted interventions (including referral to physiotherapist, occupational therapist and/or dietitian as appropriate).
Minimum Referral Criteria

Does your patient meet the minimum referral criteria?

Category 1
(appointment within 30 calendar days)

  • Two or more falls in the previous month
Category 2
(appointment within 90 calendar days)
  • Two or more falls in previous 12 months
  • Falls as part of an overall decline in physical, social or psychological function
Category 3
(appointment within 365 calendar days)
  • No category 3 criteria

If your patient does not meet the minimum referral criteria

  • Consider other treatment pathways or an alternative diagnosis
  • If you still need to refer your patient:
    • Please explain why (e.g. warning signs or symptoms, clinical modifiers, uncertain about diagnosis, etc.)
    • Please note that your referral may not be accepted or may be redirected to another service
Standard Referral Information

Patient's Demographic Details

  • Full name (including aliases)
  • Date and country of birth
  • Residential and postal address including whether patient resides at an aged care facility
  • Telephone contact number/s – home, mobile and alternative
  • Medicare number (where eligible)
  • Name of the parent or caregiver (if appropriate)
  • Name of delegate and contact details (Department of Corrective Services)
  • Preferred language and interpreter requirements
  • Identifies as Aboriginal and/or Torres Strait Islander
  • Any special needs, access requirements and/or disability relevant to the referral

Referring Practitioner Details

  • Full name
  • Full address
  • Contact details – telephone, fax, email
  • Provider number
  • Date of referral
  • Signature
  • Nominated general practitioner’s details (if known), if the nominated general practitioner is different from the referring practitioner

Relevant clinical information about the condition

  • Presenting symptoms (evolution and duration)
  • Physical findings
  • Details of previous treatment (including systemic and topical medications prescribed) including the course and outcome of the treatment
  • All conservative options that have been pursued unsuccessfully prior to referral
  • Body mass index (BMI)
  • Details of any associated medical conditions which may affect the condition or its treatment (e.g. diabetes, BMI), noting these must be stable and controlled prior to referral
  • Any special care requirements where relevant (e.g tracheostomy in place, oxygen required)
  • Current medications and dosages
  • Drug allergies
  • Alcohol, tobacco and other drugs use

Reason for request

  • To establish a diagnosis
  • For treatment or intervention
  • For advice and management
  • For specialist to take over management
  • Reassurance for GP/second opinion
  • For a specified test/investigation the GP can't order, or the patient can't afford or access
  • Reassurance for the patient/family
  • For other reason (e.g. rapidly accelerating disease progression)
  • Clinical judgement indicates a referral for specialist review is necessary

Clinical modifiers

  • Impact on employment
  • Impact on education
  • Impact on home
  • Impact on activities of daily living functioning – low/medium/high
  • Impact on ability to care for others
  • Impact on personal frailty or safety
  • Identifies as Aboriginal and/or Torres Strait Islander

Other relevant information

  • Willingness to have surgery (where surgery is a likely intervention)
  • Choice to be treated as a public or private patient
  • Compensable status (e.g. DVA, Work Cover, Motor Vehicle Insurance, etc

Essential referral information

Without this information the referral will be returned

  • General referral information
  • Relevant medical history, comorbidities and medications (including an assessment of adherence)
  • Number of falls in the previous 12 months
  • Assessment of cognitive function (MMSE, MOCA or other validated tool) in patients ≥ 65 years of age
  • Chronological profile of the impact of symptoms on ability to function
  • FBC & ELFT results
  • MSU results
Additional Referral Information
  • Existing psychosocial issues and supports (family, carers, home services, etc)
  • Copies of discharge summaries and outpatient letters relating to hospitalisations for falls, or visits to fall clinics, or home assessments for falls risk
  • Bone mineral densitometry report, Vitamin D assay (if performed)
  • Home medications review report if available
Clinical Override

Clinical override of referral criteria may be requested in the following situations:

  • Inability to include essential referral information. If a specific test result is unable to be obtained due to access, financial, religious, cultural or consent reasons.
  • Patient does not meet minimum referral criteria. If the patient does not meet the criteria for referral but the referring practitioner believes that the patient requires specialist review.
  • Presence of clinical modifiers. The presence of clinical modifiers (as listed above in Standard referral information) may impact on the categorisation of a patient.

Include the reason for request for clinical override as part of the referral. Referrals are reviewed by the triaging specialist who determines the most appropriate course of action.

Out of catchment

West Moreton Health is responsible for providing a public health service to people who reside within its catchment area. To appropriately manage demand for service we do not accept referrals from outside this catchment area. If your patient does live outside the West Moreton Health area and it is deemed socially or clinically necessary for their care to be received in the West Moreton Health Service, inclusion of information regarding their particular medical and/or social factors will assist with the triaging of your referral.


To provide feedback about contents on this website or general referral questions please email WM-CPC@health.qld.gov.au or phone 3413 7402.