Mirena®/progesterone releasing IUD Insertion or removal, for Contraception

Other important information for referring practitioners

General Practitioners are able to refer women who live in the RBWH catchment to RBWH for levonorgestrel releasing IUD (Mirena®) insertion for contraception.

A General Practitioner with Special Interest is employed one (1) day per week in the RBWH Women’s Day Therapy Unit for this procedure.

Send referral via Central Patient Intake (CPI) to Gynaecology (Public) Clinic RBWH.

Prior to referral, General Practitioners are requested to:

  • Counsel the patient about contraception options;
  • Provide the patient with a Mirena® information booklet &/or Consumer Medicines Information
  • Provide information on timing of insertion, excluding pregnancy and ensuring appropriate bridging contraception
  • Provide the patient with a prescription for Mirena® (document this in the referral).
  • Patients are asked to have prescription dispensed at a community pharmacy and take the Mirena® to their appointment at RBWH.

Referral requirements

A referral may be rejected without the following information.

  • General referral information
  • Brief sexual history or history of STDs
  • Current cervical screening result
  • History of genetic disorders or disabilities
  • Mirena® prescription – the referring GP is to give a prescription for the device to the patient who must bring the device with her to the clinic.

Additional referral information (useful for processing the referral)

  • STI screen result – endocervical swab or first catch urine for chlamydia +/- gonorrhoea NAA
  • Body mass index (BMI)

Out of catchment

Metro North Health is responsible for providing public health services to the people who reside within its boundaries. Special consideration is made for patients requiring tertiary care or services that are not provided by their local Hospital and Health Service. If your patient lives outside the Metro North Health area and you wish to refer them to one of our services, inclusion of information regarding their particular medical and social factors will assist with the triaging of your referral.

  • Impact on employment
  • Impact on education
  • Impact on home
  • Impact on activities of daily living
  • Impact on ability to care for others
  • Impact on personal frailty or safety
  • Identifies as Aboriginal and/or Torres Strait Islander
  • To establish a diagnosis
  • For treatment or intervention
  • For advice and management
  • For specialist to take over management
  • Reassurance for GP/second opinion
  • For a specified test/investigation the GP can’t order, or the patient can’t afford or access
  • Reassurance for the patient/family
  • For other reason (e.g. rapidly accelerating disease progression)
  • Clinical judgement indicates a referral for specialist review is necessary
  • Presenting symptoms (evolution and duration)
  • Physical findings
  • Details of previous treatment (including systemic and topical medications prescribed) including the course and outcome of the treatment
  • Body mass index (BMI)
  • Details of any associated medical conditions which may affect the condition or its treatment (e.g. diabetes), noting these must be stable and controlled prior to referral
  • Current medications and dosages
  • Drug allergies
  • Alcohol, tobacco and other drugs use
  • Full name (including aliases)
  • Date of birth
  • Residential and postal address
  • Telephone contact number/s – home, mobile and alternative
  • Medicare number (where eligible)
  • Name of the parent or caregiver (if appropriate)
  • Preferred language and interpreter requirements
  • Identifies as Aboriginal and/or Torres Strait Islander
  • Full name
  • Full address
  • Contact details – telephone, fax, email
  • Provider number
  • Date of referral
  • Signature
  • Willingness to have surgery (where surgery is a likely intervention)
  • Choice to be treated as a public or private patient
  • Compensable status (e.g. DVA, Work Cover, Motor Vehicle Insurance, etc.)

Send referral

Hotline: 1300 364 938

Medical Objects ID: MQ40290004P
HealthLink EDI: qldmnhhs

Metro North Central Patient Intake
Aspley Community Centre
776  Zillmere Road

Health pathways

Access to Health Pathways is free for clinicians in Metro North Brisbane.

For login details email:

Login to Brisbane North Health Pathways:

Back to top