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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).
CPC windows
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
CPC category windows