PARKWAY LUNG FUNCTION LABORATORY

Suite 18, Level 1, San Clinic Parkway, 172, Fox Valley Road, Wahroonga, NSW 2076
02 9487 8373
02 9475 0435
info@sydneyrespiratoryspecialist.com.au	

PATIENT Details

NAME:           	

DOB:     	

MOBILE NO:  	

SEX:  	

SMOKING STATUS:    	

REASON FOR REFERRAL:    Click or tap here to enter text.	

	
TEST REQUIRED:

Please note that performing Respiratory Function Test requires the patient to sit unaided and follow instructions to perform breathing maneuvers which require maximal effort. 

Test offered please tick

☐	
Full Pulmonary Function (spirometry, with pre and post bronchodilator, lung volumes, gas, transfer capacity)	

☐	
Tests for Asthma
Mannitol Challenge	

	

☐	

Exhaled Nitric Oxide Test (Fe NO)	

☐	
Spirometry with pre and post bronchodilator and flow volume loop

☐	
Tests for Respiratory Muscle Strength

Maximal Inspiratory Pressures & Maximal Expiratory Pressures (MIPs & MEPs)	

☐	
Home Overnight Oximetry

	

☐	
Tests for exercise capacity (Prior to surgery or post rehabilitation, ect)

Six Minute Walk test (6MWT)

☐	
Allergy Skin Prick Testing for Aeroallergens

All Aeroallergens

☐	
Cardiopulmonary Exercise Test (CPET)
	
☐	
Or individual allergens	

REFERRING DOCTOR:

NAME OF DR	
	
DATE	
     /     /         [DD/MM/YYYY]	

SIGNATURE	
Click or tap here to enter text.	
PROVIDER NO	

	

PARKWAY LUNG FUNCTION LABORATORY

Suite 18, Level 1, San Clinic Parkway, 172, Fox Valley Road, Wahroonga, NSW 2076
02 9487 8373
02 9475 0435
info@sydneyrespiratoryspecialist.com.au	

LOCATION AND PARKING	

Parkway Lung Function Lab is located in the new Parkway San Clinic Building opposite the Sydney Adventist (San) Hospital.

Suite 18, Level 1, 172, Fox Valley Wahroonga NSW 2076

There is ample parking for patients over three levels right below the building, with lift access (charges apply).

Otherwise there is off-street parking or parking in San Hospital car park or across the road near the shops.	

Thank You For Your Referral. 

We welcome you to our new purpose-built respiratory suites at Parkway Sans Clinic, Wahroonga. Please send the referral via info@sydneyrespiratoryspecialist.com.au or fax 02 9475 0435 and we will contact your patient as soon as possible.	

OUR RESPIRATORY SPECIALISTS	

Associate Professor SAMANTHA HERATH MBBS (Hons), MPhil, FRACP, PhD 

Dr Herath has broad clinical interests in management of lung cancer and related procedures including EBUS, tumour removal, cryobiopsy and stent placement.	
Dr KATARZYYNA DUSZYK 
BMedSci, MBBS, FRACP 

Respiratory and Sleep Medicine Physician experience in diagnosis and management of chronic airway disease including asthma, COPD and bronchiectasis, interstitial lung disease as well as management of respiratory failure and sleep disordered breathing	
Dr JIAN EU TAI 
BMedSci, MBBS, FRACP 

Respiratory and Sleep Medicine Physician interests in airways disease, interstitial lung disease, lung cancer, and sleep disorders. His expertise ensures a holistic approach to respiratory and sleep health, addressing diverse patient needs.	
Dr Karanvir Singh
MBBS, MRCP(UK), FRACP

He chairs the Western Lung Cancer Working Group and is a core member of the Lung Cancer MDT.

His expertise is in various respiratory conditions, such as lung cancer, interstitial lung disease, airway diseases, and bronchial infections and EBUS bronchoscopy.