Make a Referral

Purple Co welcomes private patients and specific referrals from general practitioners, medical specialists, insurance case managers and injury management advisors, rehabilitation consultants, employer return-to-work co-ordinators and other allied health professionals.

Please follow this process for completing and sending your referral:

1. Click the below link to open the referral form.
2. Save this to your computer or another suitable location.
3. Open the version you have just saved and complete all the details.
4. Please send the completed referral to admin@purpleco.com.au

Click Here to Open the Purple Co Referral Form