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Syncope / pre-syncope (General Medicine)

Copied from the official Gold Coast Health condition page (27 Aug 2026). Hospital triage assigns the official category. Live source: Refer Your Patient — Syncope / pre-syncope (General Medicine).

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Cat 1 · 30 days

appointment within 30 calendar days. - Syncope with unclear aetiology - Vasovagal syncope occurring on a weekly basis - Syncopal episodes that have resulted in physical injury (but not so severe as to warrant ED presentation) - Symptomatic orthostatic hypotension (of more than 20mmHg decrease in systolic blood pressure)

Cat 2 · 90 days

appointment within 90 calendar days. - Vasovagal syncope occurring on less than weekly basis but at least once a month - Asymptomatic orthostatic hypotension

Cat 3 · 365 days

appointment within 365 calendar days. - Vasovagal syncope occurring infrequently (less than once a month)

Essential referral information

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

- Relevant medical history, co-morbidities and medications (including over the counter (OTC) and complementary medications) - Details of clinical presentations: - include timeline since onset of symptoms - precipitating factors - any warning pre-syncopal symptoms - loss of consciousness (complete vs partial; duration; nature of recovery) - witnessed signs (including seizures, pallor, incontinence, cyanosis, irregular or absent pulse during attack, associated injury) - Lying and standing BP - Drug and alcohol history - FBC - ELFT - TSH - ECG If a specific test result is unable to be obtained due to access, financial, religious, cultural or consent reasons a Clinical Override may be requested. This reason must be clearly articulated in the body of the referral.

Out of scope / wrong door

The following conditions are out of scope for this service: - Mental health disorders requiring psychiatric consultation - Genetic testing / counselling - Requests for respite care, ACAT assessments or other forms of assessment or supportive care in the presence of established diagnoses and management plans, or where patients with established mental capacity to make decisions refuse such assessments or care - Reviews relating to workers’ compensation claims, NDIS eligibility, disability pensions, driver license renewals, or other legal and administrative procedures - Reviews relating to drug withdrawal or detoxification

Parent service: Internal Medicine

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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