Skip links and keyboard navigation

Epistaxis (recurrent)

ADULT

Minimum Referral Criteria

  • Category 1
    (appointment within 30 calendar days)
    • Recurrent epistaxis with no obvious cause
    • Associated change in sense of smell
    • Epiphora
    • Diplopia
  • Category 2
    (appointment within 90 calendar days)
    • No category 2 criteria
  • Category 3
    (appointment within 365 calendar days)
    • Recurrent epistaxis on a background of nasal trauma

1. Reason for request Indicate on the referral

  • To establish a diagnosis
  • For treatment or intervention
  • For advice and management
  • For specialist to take over management
  • Reassurance for GP/second opinion
  • For a specified test/investigation the GP can't order, or the patient can't afford or access
  • Reassurance for the patient/family
  • For other reason (e.g. rapidly accelerating disease progression)
  • Clinical judgement indicates a referral for specialist review is necessary

2. Essential referral information Referral will be returned without this

  • Details of previous treatment (including systemic and topical medications prescribed) including the course and outcome of the treatment
  • Current medication list including any NSAIDS, aspirin or warfarin and anti-hypertensive medication
  • Coagulopathy/platelet disorder screening results

3. Additional referral information Useful for processing the referral

  • No additional information

4. Request

Last updated: 13 June 2023