For Referrers

Thank you for using my website.
My Practice aims to work in partnership with you.

Arterial cases will be given prompt appointments.
We understand these conditions can cause anxiety.

Our venous work is state of the art.
We offer experience in the full range of current treatments.
Endovenous laser started in May 2008.

We do offer tele-appointments under special circumstances, please click here for more information

The Form below can be printed to help patients contact us or can be set up as a referral.

Referrers Form

  • Title
  • Surname
  • First Name*
  • Address
  • Reason for Referral
  • Urgent 
  • Please attach medications and past history if relevant
  • Referring Doctor
  • Name
  • Provide Number
  • Practice Name or Address
  • Electronic Signature
  • Date
  • Contact Number
  • Peripheral Arterial Disease
    Claudication Rest Pain 
  • Venous Disease
    Varicose Veins DVT 
  • Laser Surgery for Varicose Veins 
  • Aortic Aneurysm 
  • Cerebrovascular Disease 
  • Renovascular Disease 
  • Chronic Leg Ulceration 
  • Tel: (08) 9310 1022
  • Fax: (08) 9310 4451
  • Email:info@vascularsurgerywa.com.au
  • Healthlink EDI: drsbaker
  • NO GAPS on all inpatient procedures.
  • For comprehensive care of peripheral arterial and venous disorders
  • SJOG Wexford Medical Centre
    Suite 28, Level 1
    3 Barry Marshall Parade
    Murdoch WA 6150
  • McCourt Street Medical
    Suite 17, Level 2
    2 McCourt Street
    Subiaco WA 6008
  • Waikiki Private Hospital
    221 Wilmott Drive cnr Gnangara Drive
    Waikiki WA 6169

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Dr Baker’s Privacy Policy

Vascular Surgery WA complies with the Privacy Act (2001) and as part of their Privacy Policy, they are committed to protecting the privacy of individuals and their personal information. The purpose of collecting personal information is to provide quality medical and health related services and associated account keeping. Patients have the right to request access to their own information except where access would be denied. Vascular Surgery WA and Dr Baker make every effort to manage information in accordance with the National Privacy Principles and keep records up to date and accurate. Patients may withdraw consent for Vascular Surgery WA to use and disclose personal information (except when legal obligations must be met).

Agreeing to Vascular Surgery WA and Dr Baker’s Privacy Policy indicates that consent is given to:

  • Dr Baker collecting, using, storing and disposing of personal information.
  • The release of relevant personal information to other health professionals (e.g. Specialists, etc.).
  • In the case of a work related consultation or service, the release of relevant personal information to an employer, their authorised representative, and their insurer.