MedicolegalReferral

We respond immediately to your referral request when you book by phone, or by the next business day when you email us your referral. Feel free to make an appointment for your claimant to see us either in-clinic, by home visit or via video-conferencing.

Book an appointment

Appointment Booking Form

Please complete the appointment booking form below.
Once we receive your referral we will be in contact within one business day to confirm the appointment day and time. If you have preferred dates for your client’s appointment please enter these details in the Additional Information section

Medicolegal Referral Form

MLEA’s assessment rooms are centrally located in Woolloongabba, Brisbane. However, we regularly travel to several locations throughout Queensland, as well as interstate, to conduct assessments. We also offer home visit assessments if your client is unable to travel. International assessments are available upon request. Please select the location of appointment below.

Location

Specify Address

Law Firm

Office

Referrer Name

Contact Name (If different to referee)

Contact Phone

Contact Email

Name

Date of Birth

Interpreter Required

Yes

Is the injured person able to walk upstairs?

Yes

Address

City

State

Postcode

Home Phone

Mobile

Compensable Injury(s) or Condition(s)

Occupation at the time of the incident

Any further information that relates to this referral?

Talk to OurOT Team

We are here to help, tell us about your requirements and one of our experts will contact you. We’re super responsive.