Direct to an emergency department for:

  • Acute onset of a movement disorder e.g. severe ataxia, dystonia, hemiballismus
  • Acute dystonic crisis
  • Acute akinetic crisis
  • Neuroleptic malignant syndrome
  • Device-related infection in people with deep brain stimulator implants.

Criteria for referral to public hospital specialist clinic services

  • New or progressive tremor, non-essential tremor
  • Suspected Parkinson’s disease or movement disorder
  • Motor or non-motor complications of Parkinson’s disease leading to substantial disability.

Information to be included in the referral

Information that must be provided

  • History and description of abnormal movements, severity of symptoms and degree of functional impairment.

Provide if available

  • Liver function tests
  • Full blood examination
  • Thyroid stimulating hormone levels
  • Previous investigations (e.g. nerve conduction study, electroencephalogram, CT or MRI of the brain)
  • If symptoms are thought to be linked to probable or confirmed SARS CoV-2 (COVID-19) infection or Long COVID.

Additional comments

The Summary and referral information lists the information that should be included in a referral request.

The referral should include if this is a request for a second opinion.

Where appropriate and available the referral may be directed to an alternative specialist clinic or service.

Referral to a public hospital is not appropriate for

  • Movement disorders that have already been assessed and have a current management plan.