Dear Doctor

Thank you for considering a referral to Chronic Gains. To ensure that we can provide the highest quality of care to your patients, we kindly request that you include the following information when writing referrals to our practice:

1. Patient Information:
   • Full Name
   • Date of Birth
   • Contact Information (Phone Number, Email Address)
   • Relevant Medical History, including any chronic conditions or recent surgeries
2. Reason for Referral:
   • Brief description of the patient’s presenting concern or reason for referral (e.g., chronic pain, rehabilitation post-injury, management of a specific medical condition)
3. Current Medications:
   • List of all current medications, including dosage and frequency, to ensure safe and appropriate exercise prescription
4. Relevant Medical Findings:
   • Any relevant medical test results, imaging reports, or diagnostic findings that may inform our assessment and treatment planning process
5. Number of Sessions:
   • To ensure comprehensive treatment, we recommend a minimum of five sessions for each patient. This allows adequate time to assess progress, implement tailored interventions, and achieve optimal outcomes.

Thank you for your collaboration in supporting the health and well-being of your patients.

Sincerely

Laura Bui and An Ho
Accredited Exercise Physiologists (AEPs)

Chronic Gains
2/23 Pringle Ave, Bankstown NSW 2200
info@chronicgains.com.au
0410 883 228