General medicine.
General Medicine Physician consultations at Excelsia across Earlwood, Bangor and Sans Souci. Comprehensive assessment for adults whose health picture crosses specialty boundaries, whose diagnosis is unclear, or whose complex conditions benefit from a broad specialist review.
Adult disease across body systems.
General medicine, also called internal medicine, is the medical specialty focused on the diagnosis and management of adult disease across body systems. General Medicine Physicians (also known as consultant physicians) provide broad assessment for adults whose conditions cross specialty boundaries, where a diagnosis is unclear, or where multiple issues need coordinated review — and, where it helps, a clear path on to the right specialist within our team.
Not every health concern fits neatly under a single specialty. Fatigue, unexplained weight change, unclear symptoms that touch multiple systems, or a picture that hasn't crystallised into a specific diagnosis all benefit from the broad view a General Medicine Physician brings.
Care is coordinated with your GP. Your GP identifies the concern, prepares a referral, and continues general care while the specialist advises on the broader question.
Under a special arrangement, our physicians bulk bill the first two appointments per referral — time to properly assess what you need before any onward referral.
Common reasons GPs refer.
A broad review.
Bring your GP referral, any recent test results, hospital discharge summaries, imaging, a complete list of your current medications (including over-the-counter and supplements), and any previous specialist letters.
- A detailed history covering all your current health concerns.
- A clinical examination.
- Review of all tests you've already had.
- A management plan that may include further investigation, medication changes, referrals to other specialists where needed, and follow-up.
Because general medicine is broad by nature, first consultations are often longer than a single-specialty consultation.
Across all three centres.
Assessments bulk-billed.
Your first two appointments under a new referral are bulk-billed, with no out-of-pocket cost. This gives you affordable access to a specialist assessment and clear options before any onward referral to the relevant sub-specialty. Subsequent consultations after those two are privately billed, and a GP referral is required for the Medicare rebate to apply; without a valid referral, the consultation is fully private. A new referral after 12 months renews the two bulk-billed appointments.
Reception confirms the specific fee and expected out-of-pocket cost when you book. See the Fees & Billing page for the full breakdown.
Common questions.
Do I need to see a GP first?
Yes. A GP referral is required for the Medicare rebate to apply.
How is general medicine different from geriatrics?
General medicine focuses on complex adult care regardless of age. Geriatric Medicine focuses on the specific medical, cognitive and functional considerations of older adults. Several of our specialists hold both qualifications and can move between the two framings depending on your situation.
What should I bring?
Your GP referral, all recent hospital discharge summaries, test results, imaging, and a complete list of your current medications including over-the-counter items and supplements.
Will the specialist coordinate with my GP?
Yes. After each consultation, your specialist sends a letter back to your GP with the assessment and plan. Your GP remains your central point of care.
How long will the first consultation take?
Longer than a standard single-specialty appointment, because the review is broad. Reception will confirm the expected duration when you book.
Which specialist should I see?
Your GP will match you to the specialist most appropriate for your situation and the centre closest to you.
