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Direct to an appropriate emergency department for:

  • Sudden onset debilitating vertigo where the patient is unsteady on their feet or unable to walk without assistance
  • Barotrauma with sudden onset vertigo, or symptoms suggestive of stroke or transient ischaemic attacks.

Criteria for referral to public hospital specialist clinic services

  • Vertigo that has not responded to vestibular physiotherapy treatment.

Information to be included in the referral

Information that must be provided:

  • Results of diagnostic vestibular physiotherapy assessment or Epley manoeuvre
  • Results of diagnostic audiology assessment
  • Onset duration and frequency of vertigo.

Provide if available:

Description of any of the following:

  • Functional impact of vertigo
  • Any associated otological or neurological symptoms
  • Any previous diagnosis of vertigo (attach correspondence)
  • Any treatments (medication or other) previously tried, duration of trial and effect
  • Any previous investigations or imaging results
  • Hearing or balance symptoms
  • Past history of middle ear disease or surgery.

History of any of the following:

  • Cardiovascular problems
  • Neck problems
  • Neurological
  • Auto immune conditions
  • Eye problems
  • Previous head injury.

Additional comments

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

Note: there are also cardiology statewide referral criteria for Syncope or pre-syncope and neurology statewide referral criteria for Vertigo. Chronic or episodic vertigo and vertigo with other neurological symptoms should be directed to a neurology service.

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