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Paediatric Endocrinology · Refer Your Patient
Copied from the official Gold Coast Health condition page (27 Aug 2026). Hospital triage assigns the official category. Live source: Refer Your Patient — Growth Failure (Diabetes and Endocrinology).
Cat 1 · 30 days
appointment within 30 calendar days. - Possible CNS signs (visual disturbance, morning headaches etc) - Hypoglycaemia - Untreated hypothyroidism - Cushing’s syndrome (not iatrogenic) - Signs and symptoms suggestive of IBD, renal failure other serious intercurrent illness or significant medical problems - Pubertal arrest
Cat 2 · 90 days
appointment within 90 calendar days. - Constitutional delay of growth and puberty - Delayed puberty >12y females and 13y males - Primary or secondary amenorrhoea - Small for gestational age with no catch-up growth - Abnormal coeliac serology - Hypothyroidism started on treatment - Syndrome associated short stature - Documented channel crossing due to poor height velocity - Iatrogenic Cushing’s syndrome - Skeletal dysplasias - Short stature with increased fracturing - Short stature with relative obesity
Cat 3 · 365 days
appointment within 365 calendar days. - If there is parental concern - Variants of normal growth including familial short stature
Referral will be returned without this. If a mandatory test cannot be obtained, say so in the referral.
- Current height and weight, including head circumference for children less than 2 years - Report presence or absence of concerning features - Presence of chronic respiratory or bowel symptoms - Recurrent infectious illness - Juvenile arthritis (as this may be a marker of inflammatory disease e.g. inflammatory bowel disease) - Unexplained sudden growth arrest in a previously well-growing child - Visual field defects, eye movement disorders, morning headaches or other neurological signs
The following conditions are out of scope for this service: - Patients 16 years and over should be referred to Adult Endocrinology [https://www.goldcoast.health.qld.gov.au/referrals/services/diabetes-and-endocrinology]
Parent service: Paediatric Endocrinology
Sign in for localised assessment and management. HealthPathways does not send the referral. Register: gchealthpathways@health.qld.gov.au