Referral Form for Doctors

Simply download this form, print and complete

Knox Dermatology values efficient and expedient communication between referring practitioners. If your patient requires an urgent referral, we would appreciate direct communication with our clinic by emailing us at Our staff will make an appointment for your patient as early as possible.

Please direct your patients to our ‘Before your visit’ page

To save your patients valuable time on the day of the appointment, we recommend that patients complete our registration form and health questionnaire prior to arrival. Our ‘Before your visit’ page has valuable information to ensure that your patients get the most out of their appointment.