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Dialysis access procedure (specialist-to-specialist referral)

Copied from the official Gold Coast Health condition page (27 Aug 2026). Hospital triage assigns the official category. Live source: Refer Your Patient — Dialysis access procedure (specialist-to-specialist referral).

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Cat 1 · 30 days

appointment within 30 calendar days. - A patient with a catheter insitu for dialysis who is awaiting an AVF formation - A patient currently on haemodialysis who has a failing AVF - Renal access referral prioritisation score >8 (statewide renal access surgery: dialysis access referral form) [https://www.ourphn.org.au/wp-content/uploads/2017/03/20201203_dialysis-Access-Referral-form_final-2020.pdf]

Cat 2 · 90 days

appointment within 90 calendar days. - Renal access referral prioritisation score 5-8 (statewide renal access surgery:  dialysis access referral form) [https://www.ourphn.org.au/wp-content/uploads/2017/03/20201203_dialysis-Access-Referral-form_final-2020.pdf]

Cat 3 · 365 days

appointment within 365 calendar days. - Renal access referral prioritisation score <5 (statewide renal access surgery:  dialysis access referral form) [https://www.ourphn.org.au/wp-content/uploads/2017/03/20201203_dialysis-Access-Referral-form_final-2020.pdf]

Essential referral information

Referral will be returned without this. If a mandatory test cannot be obtained, say so in the referral.

- Medical comorbidities - Upper limb vein mapping - Statewide renal access surgery:  dialysis access referral form) [https://www.ourphn.org.au/wp-content/uploads/2017/03/20201203_dialysis-Access-Referral-form_final-2020.pdf] - Include CVD risk calculation % using the AusCVD Risk Calculator for patients aged 35–79 years (or ≥30-79 years for Aboriginal and Torres Strait Islander peoples). [https://www.cvdcheck.org.au/calculator]

Out of scope / wrong door

The following conditions are out of scope for this service: - Asymptomatic / cosmetic varicose veins (unless within scope of your local health service) - Lymphoedema without arterial or venous disease

Parent service: Vascular Surgery

Send outpatient referrals to

  • Smart Referrals preferred (Best Practice or Medical Director)
  • Medical Objects GQ42150009Z (lookup qh → QHEALTH, GOLD COAST HEALTH OUTPATIENT)
  • HealthLink EDI Qldgchsd
  • Fax (07) 5687 4497 — Booking and Referral Centre
  • Post: Booking and Referral Centre, Gold Coast University Hospital, 1 Hospital Boulevard, Southport QLD 4215
  • Clinic enquiries 1300 559 083

How to refer — full order

HealthPathways

Sign in for localised assessment and management. HealthPathways does not send the referral. Register: gchealthpathways@health.qld.gov.au

goldcoast.communityhealthpathways.org

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