Medical Referees
The Public Health Unit processes the appointment of Medical Referees, maintains the register of Medical Referees on behalf of NSW Health, and regularly updates the information in consultation with the Medical Council of NSW and the Australian Health Practitioner Regulation Authority (AHPRA).
Prompted by changes in recent years to the regulations governing cremation, we have developed a short presentation tailored for current medical referees and those who are thinking of applying to be appointed as medical referees. The presentation should take around 10 minutes to go through. It covers the role, principles to follow when assessing paperwork provided by the funeral director and a step-by-step guide to completing the Medical Referee’s Cremation Permit.
The forms have also changed over the past year or two, and so it may be helpful to have the Application for Permission for Cremation and the Medical Referee’s Cremation Permit in front of you (or open on another screen) whilst you go through this presentation.
We are always interested in receiving feedback and would be pleased if you would like to contact the Medical Referee Team at SESLHD-PHU-MedicalRefereeTeam@health.nsw.gov.au
Click this link to view the presentation. This presentation uses audio, on each slide hover over the loudspeaker icon and then click play.
A Medical Referee is a registered medical practitioner who has been specifically appointed by the NSW Ministry of Health to provide independent medical advice that determines if there is a need to further examine the remains of a deceased person prior to cremation.
Medical practitioners can apply if they:
- Have held a medical registration with the Australian Health Practitioner Regulation Agency (AHPRA)
- Have been practising for three of the last five years
- Do not have any Conditions attached to their registration
Under the Public Health Regulation 2022, there are a number of procedures related to any cremation in NSW that can only be completed by a Medical Referee. The main task of a Medical Referee is to approve or decline an Application for a Permit to Cremate. They must be satisfied that the cause of death has been correctly identified in the death certificate and that cremation is not contrary to a written direction of the deceased.
Other responsibilities of Medical Referees can be found under Clause 106 and Clause 107 of the Public Health Regulation 2022.
The procedure and application to appoint a Medical Referee is available online.
No. Once appointed, the medical practitioner can continue to be a Medical Referee until such time as they cease to be registered with the Australian Health Practitioner Regulation Agency (AHPRA) as practising, or have Conditions (subject to review) attached to their registration.
Appointed Medical Referees are asked to immediately notify the Public Health Unit of any changes in address, retirement, change in registration status or other relevant details. Failure to notify could result in deletion from the register.
For guidance on applying to be a medical referee or further information about the role, please refer to the following guidelines.
Frequently asked questions of the Public Health Unit:
Below are links to cremation forms, agencies and other sites that contain useful information:
Cremation forms:
- Cremation risk advice form
- Medical referee cremation permit (other than still born child)
- Coroner's cremation permit (Deceased persons other than still-born children)
- Medical referees permit for cremation of body of still-born child
- Application for permission for cremation of still-born child with statutory declaration
- Application for permission for cremation (other than still-born children) with statutory declaration
Other useful links:
For enquiries about Medical Referees email us or phone (02) 9382 8333, option 5 during business hours.