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Hospital in the Home referral form

Referring to Vitalis Health’s trusted
and transformative Hospital in the
Home (HITH) service is easy. Simply complete the form below.

Vitalis HITH referral form

If you have any questions about the Vitalis HITH service, including information on participating private funds, funding eligibility or current geographical coverage, please call 0451 439 322 or email

Important information
  • Patients must be clinically stable and in a safe home environment to be eligible for admission to Vitalis clinical services.
  • HITH and Infusion Therapy patients can be admitted under the care of their treating doctor or under Vitalis’ own GP/Emergency Doctors.
  • Chemotherapy at Home patients are admitted under the care of their treating doctor.
  • Treating doctors are consulted and provided with regular updates.
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