GP Referral

Referral form

Patient Name*

Middle Name

Family Name*


Date of Birth (dd/mm/yy)*

Best contact phone number*


Your Email*

Referred by*

Reason to visit



We make it easy for GP’s and other Healthcare Professionals to refer. Please complete the form on this page and we’ll get back to the client as soon as possible to arrange an appointment

Alternatively you can contact us by:

Telephone (24 hours) (03) 214 1378
Freephone (0800) LISTEN – 0800 547 836
Facsimile (24 hours) (03) 214 1379

Our home base clinic is at Sonos Clinic:

80 Victoria Ave

audiology south hearing clinic

Out-clinics are currently held at Gore, Winton, and Te Anau.

Monday to Friday: 8:30am to 5pm