Dr. Simone Strasser
Staff Specialist
AW Morrow Gastro and Liver Centre
Level 9
Royal Prince Alfred Hospital

Cc: Margaret Fitzgerald - HBV Nurse
(For further information, please phone: 9515 6228)

Please fax referral to: 9515 5182

Date:<TodaysDate>
Dear Dr. Strasser,

Re: <PtName>

DOB:<PtDoB>

Telephone: <PtPhoneMob><PtPhoneH>

RPA medical record no. if known: _________________________________

Thank you for seeing this lady who is currently ___________ weeks pregnant

She has tested positive for Hepatitis B. (HBsAg positive) 

( If the patient is 15 weeks pregnant or more, it would be of benefit to have HBeAg, HBeAb, HBV DNA level, LFT and INR attended and results sent to AW Morrow Gastro and Liver clinic with the referral. Thank you.)

Yours sincerely,

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