We accept referrals for any patients with gastrointestinal issues, including but not limited to:

• Bowel cancer screening related to positive FOBT, family history, or personal history of colonic polyps
• Symptomatic digestive or liver-related issues
• Iron deficiency
• Feeding tube related issues

Exclusion Criteria: 

• Patients ≤16 years of age
• Patients with confirmed IBD (these referrals will be re-directed to the IBD clinic)
   

The process for referring a patient is: 

1. GP/referrer to send electronic referral. We are no longer accepting faxed referrals for this clinic.
2. The referral will be checked to ensure it is valid. If not valid then extra information will be sourced from the referrer.
3. If valid, the referral will be triaged by clinic doctor.
4. Appointment made as per doctor’s recommendation.
5. Patient notified by confirmation letter as well as a text/call 1 week prior to appointment.

For instruction on how to send an electronic referral, please click to see our resources here
 

A valid referral requires:

1. Written by a medical practitioner in a private practice or an SMO (Senior Medical Officer).
2. Written to a named doctor within the clinic.
3. Signed and dated by referring practitioner and include their Provider Number and place of practice.
4. Include length of referral, unless it is a 12 month referral.
5. Patient to have signed financial consent form.

Please refer to the State-wide Referral Criteria for Gastroenterology for specific criteria for the relevant condition.
 

Is there a waiting list?
Yes. 

Waiting List Details
All referrals are prioritised and allocated according to criteria.

If you hold a valid Medicare card the visit is Bulk Billed.

If you do not hold a Medicare card a fee will be charged on arrival, please contact the clinic for further information.

Please let us know if you need an interpreter.

You can contact us by telephoning the Translating and Interpreting Service (TIS) on 131 450. Tell the operator what language you speak, and then ask the interpreter to set up a telephone conversation between you, an interpreter, and us on 9540 7624.
 

• Leong RWL, Huang D et al, Prospective Validation Study of the International Classification of Functioning, Disability and Health Score in Crohn’s Disease and Ulcerative Colitis (J Crohn’s Colitis (2014))
• Kariyawasam VC, Huang, D., Selinger CP, Katelaris PH, et al Early use of thiopurines or methotrexate reduces major abdominal and perianal surgery in Crohn’s Disease (Inflammatory Bowel Disease (2014))
• Huang, D., Behary, J., Zekry, A. Non-Alcoholic Fatty Liver Disease: A Review of Epidemiology, Natural History and Management (Internal Journal of Medicine (2020))
• Huang, D., Wu, P., M Szczesniak Development and Validation of an Electronic Version of Sydney Swallow Questionnaire (Neurogastroenterology and Motility (2024))
• Huang, D., Rennie, M., Kariyawasam, V. et al Impact of Cytomegalovirus on Outcomes in Acute Severe Ulcerative colitis (Therapeutic Advances in Chronic Disease 2024)) 
• Huang, D., Ket, S. Investigating the Association Between Cystic Fibrosis and Colorectal Neoplasia: A Matched Case-control Study – pending manuscript acceptance

Who we see:

• Patients with a confirmed diagnosis of Crohn’s disease, ulcerative colitis or IBD undifferentiated.
• Patients with non-specific colitis/enteritis found on colonoscopy that requires further characterisation.
• Patients with suspected IBD, including those with elevated faecal calprotectin or other suggestive features.

Exclusion Criteria: 

• Patients without a confirmed or reasonably suspected diagnosis of IBD.

The process for referring a patient is:

1. GP/referrer to send electronic referral. We are no longer accepting faxed referrals for this clinic.
2. The referral will be checked to ensure it is valid. If not valid then extra information will be sourced from the referrer.
3. If valid, the referral will be triaged by clinic doctor.
4. Appointment made as per doctor’s recommendation.
5. Patient notified by confirmation letter as well as a text/call 1 week prior to appointment.

For instruction on how to send an electronic referral, please click to see our resources here.

A valid referral requires:

1. Written by a medical practitioner in a private practice or an SMO (Senior Medical Officer).
2. Written to a named doctor within the clinic.
3. Signed and dated by referring practitioner and include their Provider Number and place of practice.
4. Include length of referral, unless it is a 12 month referral.
5. Patient to have signed financial consent form.
    

Is there a waiting list?
Yes. 

Waiting List Details
All referrals are prioritised and allocated according to criteria. We will endeavour to see all urgent referrals within 1-2 weeks.
 

If you hold a valid Medicare card the visit is Bulk Billed.

If you do not hold a Medicare card a fee will be charged on arrival, please contact the clinic for further information. 

Please let us know if you need an interpreter. 

You can contact us by telephoning the Translating and Interpreting Service (TIS) on 131 450. Tell the operator what language you speak, and then ask the interpreter to set up a telephone conversation between you, an interpreter, and us on 9540 7624.
 

Dr Nikola Mitrev

• Maguire B, Mitrev N, Baraty B, Au M, Sorensen K, Kariyawasam V (2025). Exploring the Perceptions and Practices of Exclusive Enteral Nutrition among Adult Inflammatory Bowel Disease Patients, Gastroenterologists, and Dietitians in Australia. JCCPlus (submitted).
• Mitrev N, Kariyawasam V (2024). Treatment endpoints in ulcerative colitis: does one size fit all? World Journal of Gastrointestinal Pharmacology and Therapeutics. 5;15(2):91591
• Huang TD, Rennie M, Martin A, Nagubandi S, liu S, Ge E, Khehra B, Au M, Sivagnanam S, Kwan V, Rogge C, Mitrev N, Kariyawasam V (2024). Impact of cytomegalovirus on outcomes in acute severe ulcerative colitis: A retrospective observational study. Therapeutic Advances in Chronic Disease 28:15
• YK An, N Lindsay, N Allan, E Khoo, R Fernandes, A Amiss, H Pham, K F Wong, S Y Ooi, L Thin, D Lightowler, S J Connor, AJ Williams, P De Cruz, C Li Wai Suen, V Kariyawasam, N Mitrev, S Ghaly, J M Andrews, B Christensen, M P Sparrow, L S White, R V Bryant, N Ding, R Leong, D Van Langenberg, H Seltenreich, K Subramaniam, G Radford-Smith, J Begun, (2023) Post-ustekinumab induction IL12, IL23, and ustekinumab levels are associated with clinical response in a multi-centre prospective cohort study of Crohn’s disease patients: results from the AURORA Study including ANZIBDC Cohort. Journal of Crohn's and Colitis, 17, S1
• Karimi K, Lukin A, Moore AR, Pipicella JL, Kanazaki J, Williams AJ, Ng W, Kariyawasam V, Mitrev N, Pandya K, Connor SJ (2023) Adolescents and young adults communicating with gastroenterologists: variation in inflammatory bowel disease clinical communication. Int J Adolesc Med Health 28;35(4):347-361
• Au M, Low P, Rennie M, Mohseni M, Song Y, Kim N, Baraty B, Mitrev N, He E, Ho V, Leong R, Kariyawasam V (2023) Determining efficacy of dynamic multimedia bowel preparation instructions versus standard instructions on adenoma detection and patient reported measures (DIGICLEAN trial): a study protocol for a multicentre, colonoscopist-blinded, randomised controlled trial. BMJ Open 21;13(7)
• Au M, Mitrev N, Leong RW, Kariyawasam V (2022) Dual biologic therapy with ocrelizumab for multiple sclerosis and vedolizumab for Crohn's disease: A case report and review of literature. World J Clin Cases 16;10(8):2569-2576.
• Mitrev N, Huang H, Hannah B, Kariyawasam V, (2021). Review of Exclusive Enteral Therapy in adult Crohn’s disease. IBD Journal, BMJ Open Gastroenterol, Sep;8(1)
• Mitrev N, Madiha C (joint first authors), Ahlenstiel G, Kariyawasam V (2021). Depression, anxiety and stress among inflammatory bowel disease patients during the COVID19 pandemic: Australian national survey. BMJ Open Gastroenterology 8(1):e000581
• Mitrev N, Kariyawasam V. (2020). Review of therapeutic drug monitoring of infliximab in spondyloarthritis- Catching up with management concepts from other inflammatory conditions. Br J Clin Pharmacol. 86(2):194-195
• Kariyawasam VC, Mourad FH, Mitrev N, Paramsothy S, Selinger CP, Katelaris PH, Jones B, McDonald C, Barr G, Chapman G, Cowlishaw J, Andrews J, Leong RW (2020). Early Thiopurine Maintenance Is Associated with Reduced Proximal Disease Progression and Colectomy Rate in Ulcerative Colitis. Eur J Gastroenterol Hepatol. 1;33(12):1524-1532.
• Co-author and expert advisory group: Kariyawasam V, Subramaniam K, Shelton E, Mitrev N (2019) A practical guide for using Stelara (ustekinumab) in Crohn’s disease. Janssen.
• Perry J, Chen A, Kariyawasam V, Collins G, Choong C, Teh WL, Mitrev N, Kohler F, Leong RWL.(2018) Medication non-adherence in inflammatory bowel diseases is associated with disability. Intest Res;16(4):571-578.
• Mitrev N, Vande Casteele N, Seow C, Andrews J, Connor S, Moore G, Barclay M, Begun J, Bryant R, Chan W, Corte C, Ghaly S, Lemberg D, Kariyawasam V, Lewindon P, Martin J, Mountifield R, Radford-Smith G, Slobodian P, Sparrow M, Toong C, van Langenberg D, Ward M and Leong RW (2017) Review article: Consensus statements on therapeutic drug monitoring of anti-tumour necrosis factor therapy in inflammatory bowel diseases. Alimentary Pharmacology and Therapeutics. 46(11-12).
• Mitrev N, Kariyawasam V, Leong RW (2017). Editorial: Infliximab trough cut-off for perianal Crohn’s disease: another piece of the therapeutic drug monitoring-guided infliximab dosing puzzle. Alimentary Pharmacology and Therapeutics. 45(9); 1279-80.
• Mitrev N, Leong RW (2016) Therapeutic drug monitoring of anti-tumour necrosis factor agents in inflammatory bowel disease, Expert Opinion on Drug Safety. 16(3); 303-317.
• Mitrev N, Alswaifi A, Leong RW (2016) Chemoprophylaxis in Inflammatory Bowel Disease, In: Therapeutic Targets for Inflammation and Cancer: Novel Therapies for the Digestive Tract. World Scientific, Singapore (book chapter)
• Leong RW, Mitrev N, Ko Y (2016). Hygiene hypothesis: Is the evidence the same all over the world? Digestive Diseases. 34(1-2); 35-42.

Dr Nan (Betty) Wu

• Wu, N., Mah, C., Koentgen, S et al. Proceedings of the Nutrition Society 2021. Conference on ‘Gut microbiome and health’ Symposium three: Pathogens × gut microbiota interactions: Inflammatory bowel disease and the gut microbiota. Published by Cambridge University Press on behalf of The Nutrition Society
• Williams A*, Paramsothy R*, Wu N*, et al. Australia IBD Microbiome (AIM) Study: protocol for a multicentre longitudinal prospective cohort study BMJ Open 2021;11:e042493. doi: 10.1136/bmjopen-2020-042493
• denotes equal contribution
• Wu, B.N., Petito, V., Scaldaferri, F,. and Hold, G. Microbiota and IBD. Microbiota in Health and Disease. 2019; 1: e199
• Wu, N and Freiman, J.S. Caecal Ulceration in Asymptomatic Man. Gut. 2017; 66: 886
• Wu, B.N. and Yang, J.L. Nanoparticle-Based Chemotherapies on the Market. World Journal of Cancer Research. 2013; 1 (2) 92-107
• Wu, B.N. and O’Sullivan, A.J. Sex Differences in Energy Metabolism Need to Be Considered with Lifestyle Modifications in Humans. Journal of Nutrition and Metabolism. 2011; 2011:391809.
• RD, Little; TC, Jayawardana; F, Zhang; Y, Houshyar; S, Koentgen; N, Wu; A, Ellepola; P, Tavakoli; et al. On behalf of The AIM Study consortium. Gut microbiota are more strongly associated with impairments in health-related quality of life than disease activity in inflammatory bowel disease. The American Journal of Gastroenterology. September 29, 2025. | DOI: 10.14309/ajg.0000000000003773
• Cosier D, Lambert K, Charlton K, Batterham M, Little RD, Wu N, Tavakoli P, Ghaly S, Pipicella JL, Connor S, et al. Dietary Patterns and Fibre Intake Are Associated with Disease Activity in Australian Adults with Inflammatory Bowel Disease: An Exploratory Dietary Pattern Analysis. Nutrients. 2024; 16(24):4349.
• O’Donnell, M., Teasdale, S., Chua, XY., Hardman, J., Wu, N., et al. The role of the microbiome in the metabolic health of people with schizophrenia and related psychosis: cross-sectional and pre-post lifestyle intervention analyses. Pathogens. 2022, 11, 1279.
• Ferrie S, Webster A, Wu BN, Tan C and Carey S. (2020) Gastrointestinal Surgery and the Gut Microbiome: A Systematic Literature Review. European Journal of Clinical Nutrition.

A booked appointment is required to be seen in the Eye Clinic.

Walk-in appointments are not accepted.

Clinic hours are 8:30am to 4:30pm, Monday, Wednesday & Friday.
 

Our clinic adopts the Statewide Referral Criteria for Ophthalmology. Please refer to these criteria before making a referral.

Referrals are accepted for the following conditions: 

• Cataract (optometrist report required if referred by a GP)
• Diabetic Retinopathy (please note that intravitreal injections are not provided at this clinic)
• Glaucoma
• Eye emergencies via the Emergency Department

Exclusion Criteria: 

• Out of area referrals
• Conditions not listed above

The process for referring a patient is: 

1. GP/referrer to send electronic referral. We are no longer accepting faxed referrals for this clinic.
2. The referral will be checked to ensure it is valid. If not valid then extra information will be sourced from the referrer. 
3. If valid, the referral will be triaged by clinic doctor.
4. Appointment made as per doctor’s recommendation.
5. Patient notified by confirmation letter as well as a text/call 1 week prior to appointment.

For instruction on how to send an electronic referral, please click to see our resources here.
 

A valid referral requires:

1. Written by a medical practitioner in a private practice or an SMO (Senior Medical Officer).
2. Written to a named doctor within the clinic.
3. Signed and dated by referring practitioner and include their Provider Number and place of practice.
4. Include length of referral, unless it is a 12 month referral.
5. Patient to have signed financial consent form.

Please refer to the State-wide Referral Criteria for Ophthalmology for specific criteria for the relevant condition.

Is there a waiting list?
Yes

Waiting List Details
All referrals are prioritised and allocated according to criteria.

If you hold a valid Medicare card the visit is Bulk Billed.

If you do not hold a Medicare card a fee will be charged on arrival, please contact the clinic for further information. 
 

Please let us know if you need an interpreter. 

You can contact us by telephoning the Translating and Interpreting Service (TIS) on 131 450. Tell the operator what language you speak, and then ask the interpreter to set up a telephone conversation between you, an interpreter, and us on 9540 7624.
 

A resident of the Sutherland Shire needing high risk podiatry services.

We will accept any patient with a current active foot ulcer.

We will accept aged care patients over 65 (over 50 from an Aboriginal and Torres Strait Islander background) who are assessed as moderate to high risk from the criteria below.
 

A resident of the Sutherland Shire with a foot complication.

Foot Complications include:

• Active foot ulceration.
• Charcot Neuroarthropathy.
• Peripheral Vascular Disease (PVD) or Peripheral Neuropathy (PN) with active problems such as infection, ischaemia and fissures.
• Previous foot ulcers.
• Previous amputation.
• Ingrown toenails.

Exclusion Criteria:
Patients requiring home visits. Our service does not provide visits to the home.
 

Persons under 65 years
1. Electronic Medical Record (eMR) referral (TSH) or
2. Fax a Podiatry Referral Form or High Risk Foot Clinic Form to (02) 9540 7869 or scan and email to SESLHD-SouthCareIntake@health.nsw.gov.au

Persons 65 years and over
Online at My Aged Care https://www.myagedcare.gov.au/make-a-referral or phone 1800 200 422

If referring for access to the multidisciplinary team, please use the High-Risk Foot Clinic Form regardless of age.

Yes

People at risk of developing serious foot complications are given priority.

8.00am - 4:30pm Monday to Friday

Nil

Please let us know if you need an interpreter. You can contact us by telephoning the Translating and Interpreting Service (TIS) on 131 450. Tell the operator what language you speak, and then ask the interpreter to set up a telephone conversation between you, an interpreter, and us on 9540 7540.

Hospital in-patients who are medically stable and ready to be discharged and who wish to actively participate in an in-home, goal orientated rehabilitation program.

1. A My Aged Care Comprehensive Assessment and STACS assessment in the hospital inpatient setting to determine suitability.
2. Over 65 years of age (younger patients with age related conditions considered).
3. Must be a resident of the Sutherland Shire.

Hospital in-patients over 65 years of age (or over 50 for Aboriginal/Torres Strait Islanders) who are medically stable and ready to be discharged, and who have capacity and desire to actively participate in an in-home, goal orientated program.  

Request an In-Patient Comprehensive Assessment seeking approval for TACP via ‘My Aged Care’ - www.myagedcare.gov.au - or by phoning 1800 200 422.

Discharge Planner/Referrer to discuss suitability with STACS NUM on 9540 7201 or 0429 231 087 prior to placing the referral through My Aged Care.

Not applicable

Not applicable

17.5% of the single aged care pension (NB:  No one refused if unable to pay)

Please let us know if you need an interpreter. You can contact us by telephoning the Translating and Interpreting Service (TIS) on 131 450. Tell the operator what language you speak, and then ask the interpreter to set up a telephone conversation between you, an interpreter, and us on 9540 7201.

A resident of the Sutherland Shire aged 65 years and older who has experienced a deterioration of their balance or unsteadiness when mobilising.

A person that has balance issues and:

1. Is a resident of the Sutherland Shire and is aged 65 years or older
2. Has a cognition level suitable to engage in the program
3. Able and willing to exercise in a small group setting        
4. Is motivated to continue an exercise regime at home
5. Has a goal of participating in a community-based outside activity

Exclusion criteria:

1. People living in aged care facilities who have access to their own physiotherapist
2. Third party, insurance or NDIS clients
3. People who are currently accessing external community exercise programs
4. People with inability to listen/tolerate music
5. People unable to mobilise independently (with or without walking aid)

Mark attention STEADY STEPS.
Referrals accepted from any healthcare provider.
Must complete an Access and Referral Form

1. Electronic Medical Record (eMR) referral (TSH) to Southcare Community
2. Fax Access and Referral Form to (02) 9540 7869 or scan and email to SESLHD-SouthCareIntake@health.nsw.gov.au

Yes

A prioritisation tool is utilised to triage referrals.
Priority is given to clients with a recent history of falls.

Donations towards gym equipment are welcome. 

Limited bus transport to and from the program is available for residents of the Sutherland Shire at a cost of $5 per session.

Please let us know if you need an interpreter. You can contact us by telephoning the Translating and Interpreting Service (TIS) on 131 450. Tell the operator what language you speak, and then ask the interpreter to set up a telephone conversation between you, an interpreter, and us on 9540 7540.

Clients suitable for referral to the Southcare Outreach Service:

• Reside in the Sutherland Shire catchment area.
• Are over 65 years* or
  • > 50 years for the Aboriginal and Torres Strait Islander population.  
  • > 16 years for clients referred by the RADIUS unit.  
  • > 18 years for clients referred by TSH HITH for allied health requirements.
• Are at risk of presenting to ED or re-presenting to ED within the next 48 hours.
• Have goals that can be addressed by a multidisciplinary team in the client’s home.

Exclusion Criteria:

The following clients are excluded:

• Clients admitted in Hospital. Referrals are not taken for admitted in-patients. Referrals are only taken for clients being discharged from the Emergency Department, short stay unit, HITH or RADIUS unit.
• Clients residing care in a Residential Aged Care Facility.

General Practitioners, Staff specialists such as Geriatricians, Emergency Department staff, Aged Care Services Emergency Team (ASET) staff, RADIUS staff, HITH staff, NSW Ambulance Service, NSW Police, clients and carers as well as Southcare and community services can refer.

1. Electronic Medical Record (eMR) referral (TSH) Southcare Community or
2. Fax an Access and Referral Intake Form to (02) 9540 7869 or
3. Scan and email an Access and Referral Intake Form to SESLHD-SouthCareIntake@health.nsw.gov.au or
4. Phone SOS triage Nurse on 0410 550 867.

No

All referrals are considered URGENT and are seen within 48 hours of referral being accepted.

The SOS offers a seven day per week service: 
0800 - 1900 hours Monday - Friday. 
0800 - 1830 hours Saturday and Sunday, including public holidays.

Nil

Please let us know if you need an interpreter. You can contact us by telephoning the Translating and Interpreting Service (TIS) on 131 450. Tell the operator what language you speak, and then ask the interpreter to set up a telephone conversation between you, an interpreter, and us on 0410 550 867.