Immunology (Adult) Referral Access Criteria

Patient requires immediate (within 7-days) attention
Immediate referrals (patient to be seen within 7 days) should be sent directly to the relevant hospital. Do not send immediate referrals via Central Referral Service (CRS).

Contact the on-call registrar or service to arrange an immediate immunology assessment for:

  • Autoimmune disorders
    • Active autoimmune disease with rapidly progressive end-organ damage
    • Vasculitis with evidence of rapidly progressive end-organ damage
  • HIV
    • New HIV infection diagnosis

To contact the relevant service, please see Clinician Assist WA: Immunology Requests (external site)

Immunology (adult) conditions with Referral Access Criteria
These conditions are routinely seen by immunology (adult) outpatient services. This is not an exhaustive list of all conditions seen by the outpatient service. Consideration for referral will not be excluded unless the condition is listed on the exclusion list. If the condition you are referring for is not listed, or is unknown, please include details in the body of the referral.
Excluded conditions and services

Exclusions

Referral to public immunology outpatient services is not routinely accepted for the following conditions:

Condition Details (where applicable)
Chronic fatigue

Excluded condition when the following features apply:

Asthma
Eczema
Persistent rash with uncertain diagnosis
Contact dermatitis
Rheumatoid arthritis and other inflammatory arthritis syndromes
Joint hypermobility syndromes
  • Refer to relevant specialty whose symptoms predominate (i.e. pain specialist/orthopaedics/gastroenterology/vascular surgery, depending on symptoms)
Organ-specific autoimmune conditions

Excluded condition when the following features apply:

  • Refer to relevant organ-based specialties e.g. type 1 diabetes mellitus, consider referral to endocrinology
Irritable bowel syndrome
Suspected food intolerance
Eosinophilic oesophagitis

Excluded condition for the following:

Post COVID Syndrome 
Complex peri-anaesthetic adverse reaction

Excluded elective procedures

All elective procedures must meet an identified clinical need to improve the health of the patient. Procedures are not to be performed for cosmetic or other non-medical reasons. Excluded procedures will not be performed unless under exceptional circumstances and where a clear clinical need has been identified. For excluded procedures, the referral must clearly state:

  • that the request is for an excluded procedure
  • the clinical exception reason as to why it should be considered

Access the WA Elective Surgery Access and Waiting List Management Policy at WA Health Policy Frameworks.

Excluded procedure Exceptional circumstance includes
 Nil  
Last reviewed: 05-01-2024