Lymphoedema Referral ← BackThank you for your response. ✨ Participant Name* Email Phone Number* Date of Birth* Diagnosis and Background Information * Have you received any Lymphoedema treatment before? Are you currently being seen by any specialists relating to your Lymphoedema? * Do you currently have any compression garments?* Lymphoedema Management Services Required* Initial Consultation Compression Garment Lymphatic Drainage Massage Unsure / Require more information Funding:* Private Health DVA Medicare referral (with an EPC plan from my GP) General Referral submitSubmitting form Δ
