GP Referral

Please get your GP to fill in this GP Referral form for Dr Jake Lim Plastic Surgeon.

or you can send a GP referral by Fax or Email.

Patient Name

First Last

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Patient Address

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Referring Doctor's Name(Required)

First Last

Provider Number(Required)

Doctor's Contact Phone(Required)

Doctor's Email Address(Required)

Doctor's Clinic Name

Doctor's Clinic Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How Did You Hear About Us?

Reason For Referral:(Required)

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Want To Know More?

Due to Australian medical guidelines we are unable to publish reviews and testimonials on our website. This is to ensure any opinions or information you read comes from an unbiased and unedited source. Though this is the case, we understand that reviews and testimonials are a very important part of your decision-making process when selecting a specialist plastic surgeon. Please contact the My Klinik team for further information.

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About Dr Jake Lim

Highly qualified and experienced specialist plastic surgeon Dr Jake Lim focuses on facial plastic, cosmetic breast and body contouring after significant weight loss

Dr Lim creates the best possible plastic surgery results for his Australia-wide and international patients.

Dr Lim is passionate about making sure each and every patient has access to the right information about available treatments and procedures and is able to make well-informed decisions.

At My Klinik, patient safety, education and achieving optimal results are our top priorities.

Learn More