Endocrinology and Diabetes (Paediatric) 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 endocrinology and diabetes assessment for:
  • Ambiguous genitalia with concerns about genital development
  • Vaginal bleeding aged <8 years
  • Sudden changes in pubertal development with or without neurological symptoms (e.g. headache, blurred vision)
To contact the relevant services, see HealthPathways: Acute Paediatric Assessment (external site)
Endocrinology and diabetes (paediatric) conditions with Referral Access Criteria

These conditions are routinely seen by endocrinology and diabetes (paediatric) 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.

Referrals missing 'mandatory information' with no explanation provided may not be accepted.

Excluded conditions and services


Referrals to public endocrinology and diabetes (paediatric) outpatient services are not routinely accepted for the following conditions:

Excluded condition Details
Gender dysphoria or gender incongruence
Isolated lipid abnormalities  

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 Clinical exception reason
Gender reassignment procedures
  • Congenital abnormalities in children
Penile procedures for sex transformation
  • Congenital abnormalities in children