Refer Someone To QPP

Refer Someone to QPP for Support

For your privacy, all referrals completed via this online form are secure.

If you prefer to complete your referral offline, please download the referral form here to complete and email or fax us on 07 3891 1830 at your convenience.

Refer Someone To QPP

Refer Someone to QPP for Support

For your privacy, all referrals completed via this online form are secure.

Referral Form

Details of the REFERRER

New Client Details

Any issues for support identified by the referrer (or other relevant information)

Risk Assessment

Confirmation of HIV status

For POCT only