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Referrals
Two different questions get asked with the same word. Whether you need a referral to be seen here, which depends on your plan. And whether we will refer you onward, which depends on what the examination finds.
Coming in
This varies by plan and by jurisdiction, and that is the honest answer rather than a dodge. Some plans require a referral before they will pay anything toward a consultation. Others do not. A clinic that tells you confidently either way without having looked at your own policy is guessing at it.
So we check it as part of the coverage check, before your appointment rather than at the desk on the day. It goes alongside the other questions about what your plan pays toward a consultation and toward a procedure, because all of them are decided by the same document.
If a referral is required, getting one is usually straightforward, and we will say what it needs to cover. Insurance and coverage covers the check, paying without insurance covers the route where none of this applies, and what treatment costs covers the rest.
How we check
Sent before the appointment, because the referral requirement sits in the same document as the coverage answer.
We find out rather than telling you what is usually the case, because usually is not the same as yours.
If one is required, we tell you what it should cover so it does not get bounced back for wording.
If none is needed, nothing further is required and the appointment goes ahead as booked.
Going out
The other direction matters more clinically. Some of what presents here is not something this clinic should be treating, and the findings that move it elsewhere are specific: blood mixed through the stool rather than on its surface, bleeding that keeps returning, a change in stool habit, unexplained weight loss.
Age over forty-five and a family history of colorectal cancer both change what has to happen first as well. In those cases the right answer is a colonoscopy or another specialty rather than a procedure here, and you hear that at the first visit rather than at the third one.
That is not a hedge, it is the main clinical commitment this site makes. Red flags lists the findings in full, bleeding covers what the examination looks for, and the first visit covers when you would be told.
Related
The coverage check it sits inside, the findings that send you elsewhere, and the self-pay route.
The check the referral question is answered as part of.
Learn moreThe findings that mean a referral onward rather than a procedure here.
Learn moreWhat the examination is looking for before anything is treated.
Learn moreThe route where the referral requirement does not arise.
Learn moreCommon questions
Both directions: getting in the door, and being sent somewhere more appropriate.
I did not have a referral and they saw me anyway. They explained what a referral would and would not change for my insurance.
They wrote to my family doctor after the first visit so the record was complete. I did not have to arrange it.
Came in without a referral, left with a diagnosis and a letter for my GP. Simple.
They told me which situations do need a physician first and mine was not one.
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Get started
Send your plan details with the booking and we will tell you whether one is needed and what it has to cover, before the appointment rather than at the desk.
If your findings mean someone else should be treating this, you will be told at the first visit.