GP Referral Form

    Patient Details



    GP Details




    Nature of Appointment

    Comprehensive Geriatric Assessment (CGA)

    for diagnosis and management of memory disorders and dementiasfor falls assessments and falls prevention strategiesfor managing complex and multiple morbiditiesfor community home visitsfor nursing home visitsfor managing polypharmacy & medication optimisationfor frailty assessment and managementfor perioperative or ortho-geriatric services

    Select a CGA Doctor

    Dr Ashwin ShuklaDr Deeksha RaoDr Elita SantosaputriDr Alexandra PopescuDr Alfred YappDr Stephanie WongDr Saif Hamdoonnext available appointment with any Geriatrician

    Other

    Pre-operative Review/Peri-operative Management-Christopher NirmalOsteoporosis Management-Christopher NirmalNone

    Attach Physical Referral

    Attach supporting information/MRI reports/bloods etc

    Dr. Ashwin Shukla

    Geriatrician

    Dr Ashwin Shukla is an Australian trained Geriatrician, working with SA Geriatrics, who provides both public and private hospital services to the southern region of Adelaide, through Flinders Private Hospital, Flinders Medical Centre and Noarlunga Health Service.

    Dr. Deeksha Rao

    Geriatrician

    Dr Deeksha Rao is a Consultant Geriatrician who practices in Flinders Medical Centre and consults at Flinders Private Hospital in outpatient suites. She obtained her initial medical qualification in India in 2004 and trained in the United Kingdom subsequently for 3 years.

    Elita photo image1-1

    Dr. Alita Santosaputri

    Geriatrician

    Dr Elita Santosaputri is an enthusiastic and passionate Geriatrician. She puts her patient’s best interests at heart and strives to deliver high quality and individualised patient-centred care.

    Dr. Alexandra Popescu

    Geriatrician

    Dr Popescu is an Australian trained Geriatrician, recently practising in the hospitals of the Southern Adelaide Local Health Network, Royal Adelaide Hospital, Flinders Private Hospital and Stirling Hospital. This is enriching over 15 years of medical experience in Infectious Diseases (Specialist recognition in all countries of the European Union).

    Dr. Christopher Nirmal

    General Physician

    Dr Christopher Nirmal holds a Post Graduate Degree in General Medicine from India and a Fellowship from the Royal Australasian College of Physicians (Adult Medicine). He has also been certified by the Educational Commission for Foreign Medical Graduates (USA).