Download Rehabilitation Programs and Services

Rehabilitation
Programs and
Services
1
Contents
4
2
Musculoskeletal
10
Pain and Chronic Fatigue
12
Cardiorespiratory
14
Neurology
20
Oncology
21
Falls Prevention
22
Driver Rehabilitation
23
Vocational Rehabilitation
24
Community
26
Specialist Directory (lift out)
26
Our Locations
Rehabilitation at Epworth
Epworth HealthCare provides
multidisciplinary, individualised
programs for patients requiring
inpatient, outpatient and community
rehabilitation programs.
Our programs are tailored to
our patients’ needs and work
towards returning individuals to as
independent and functional a lifestyle
as possible.
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Musculoskeletal
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Orthopaedic
Multi Trauma Orthopaedic
(MTO)
We offer a comprehensive, individually based
orthopaedic rehabilitation program involving a
multidisciplinary team including specialists in
rehabilitation medicine, nursing, physiotherapy,
occupational therapy, social work and dietetics.
Epworth rehabilitation has expertise in orthopaedic
trauma.
Intensive inpatient and outpatient programs aim
to return the individual to optimal independence.
Across all four rehabilitation sites, dedicated
rehabilitation therapists specialise in joint
replacement, fractures, spinal surgery and
musculoskeletal dysfunction.
The orthopaedic rehabilitation team assesses each
patient and devises a specific rehabilitation program
based on the needs and goals of the patient and his/
her family.
Available at:
Epworth Brighton
Epworth Camberwell
Epworth Hawthorn
Epworth Richmond
For referrals and enquiries please contact:
1300 46 REHAB or [email protected]
Inpatient and outpatient rehabilitation programs
are offered to patients who have sustained
traumatic orthopaedic injuries, minor brain injuries
and complex wounds and burns following motor
vehicle and work-related accidents.
Rehabilitation programs are specifically designed
to meet individual needs. Staff in orthopaedic
trauma work as an interdisciplinary team; skilled
to support, guide and encourage patients towards
independence.
Other services offered in the Orthopaedic Trauma
Program include:
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Vocational services (return-to-work)
Driver Rehabilitation Program
High Level Mobility - Running Group
Hydrotherapy
Bike Education
Hand Therapy
Available at:
Epworth Hawthorn
For referrals and enquiries please contact:
1300 46 REHAB or [email protected]
INPATIENT
INPATIENT
OUTPATIENT
OUTPATIENT
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Hydrotherapy
High Level Mobility Running
Group
Hydrotherapy is an adjunctive therapy to landbased therapy in the management of a multitude of
conditions.
The Physiotherapy Department at Epworth conducts
a running group for patients with high level mobility
problems.
The pool is set at a constant temperature of 34°C.
Access is provided via wide, shallow steps or a hoist
for those unable to walk.
The purpose of the running group is to:
Therapeutic benefits include:
• Exercising in a weight assisted environment,
thereby allowing for early mobilisation following
injury
• Buoyancy that assists with strengthening,
coordination and balance problems and
improves movement control
• Warmth of the water that promotes muscle
relaxation, increasing joint range and mobility
and relieving pain
• Increasing cardiovascular fitness
Available at:
Epworth Brighton
Epworth Camberwell
Epworth Richmond
• Teach people how to run, if only for a few steps
• Improve high level mobility skills in order to
access social, leisure and sporting activities
• Improve community mobility to allow people
to keep up with peers when walking, accessing
public transport and crossing roads as well as to
develop the endurance to walk longer distances
• Improve mobility to promote health, fitness and
weight loss
Available at:
Epworth Camberwell
Epworth Hawthorn
Epworth Richmond
For referrals and enquiries please contact:
1300 46 REHAB or [email protected]
For referrals and enquiries please contact:
1300 46 REHAB or [email protected]
INPATIENT
OUTPATIENT
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OUTPATIENT
Hand Therapy
Hand Therapy for the rehabilitation of conditions
affecting the hand and upper limb is available for
both inpatients and outpatients. Therapy includes
the assessment and treatment of non-surgical and
surgical conditions.
Following a detailed assessment, treatment may
include:
• Condition specific exercises
• Oedema management
• Desensitisation
• Sensory re-education for nerve injuries
• Custom splinting
• Education regarding adaptive techniques
• Provision of adaptive equipment
• Return to work
• Scar management
All interventions are supported by the use of clinical
outcome measures to accurately document progress.
Available at:
Epworth Brighton
Epworth Camberwell
Epworth Hawthorn
Epworth Richmond
For referrals and enquiries please contact:
1300 46 REHAB or [email protected]
INPATIENT
OUTPATIENT
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Amputee Program
The primary aim of the Amputee Program is to
return patients home, into their community and
functioning well. This comprehensive program is
offered to both inpatients and outpatients. The
team goal is to meet the patient’s identified needs,
and thereby optimise the individual’s functional
independence. The dedicated rehabilitation team
includes onsite:
• Specialists in rehabilitation medicine
• Pain management physicians
• Prosthetists
• Rehabilitation nursing staff
• Physiotherapists
• Exercise physiologists
• Occupational therapists
• Clinical psychologists
• Social workers
• Dietitians
• Pharmacists
• Pastoral Care staff
Available at:
Epworth Hawthorn
For referrals and enquiries please contact:
1300 46 REHAB or [email protected]
INPATIENT
OUTPATIENT
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Bike Education Program
Arthritis Rehabilitation
Program
The Exercise Physiology team conducts a Bike
Education Program for all appropriate patient
populations, including acquired brain injury,
multitrauma orthopaedic and amputee.
Available at:
Epworth Camberwell
Epworth Hawthorn
Epworth Richmond
The Arthritis Rehabilitation Program is designed
for people who have diagnosed arthritis or other
conditions affecting their muscles, bones and joints.
The program includes a combination of exercise and
education and is designed to cover a range of topics
to help people manage their symptoms, lessening
the impact of arthritis on their life.
Patients who may benefit from this program include
those with:
• Osteoarthritis
• Rheumatoid arthritis
• Osteoporosis
• Spondyloarthritis
• Ankylosing spondylitis
• Psoriatic arthritis
For referrals and enquiries please contact:
1300 46 REHAB or [email protected]
Available at:
Epworth Camberwell
The aims of the program include:
• Increased independence
• Providing patients with a mode of transport to
assist with community activities of daily living
• Providing social and recreational opportunities
• Ongoing means of improving health and fitness
For referrals and enquiries please contact:
1300 46 REHAB or [email protected]
OUTPATIENT
OUTPATIENT
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Pain and Chronic
Fatigue
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Chronic Pain Program
Chronic Fatigue Program
Epworth’s pain management program is for
individuals with persistent pain that has resulted
from illness, work injury or road trauma and has not
responded to standard treatment.
Epworth’s Chronic Fatigue Program is patient and
family-focussed, drawing on the skills and resources
of the multidisciplinary team of medical, nursing
and allied health staff.
The initial point of contact following referral is a
telephone review and appointment booking via the
inpatient or outpatient coordinator as appropriate.
Following admission, each patient is assigned a
case coordinator to assist in care planning and
community liaison.
A central aim of the program is to assist and support
clients in the long term management of their pain so
that they can improve their day to day functioning
and independence.
Rehabilitation consultants work closely with all
allied health services, including physiotherapy,
occupational therapy, psychology and exercise
physiology to ensure a tailored service is provided to
each individual.
WorkSafe, TAC, DVA and private individuals are
accepted pending a medical referral and approval by
the relevant health fund.
Program objectives include:
• To assist the individual to maintain functional
independence and self management
• To re-establish and maintain the ability of an
individual to participate in all activities required
to maintain a desired lifestyle
Available at:
Epworth Brighton
Available at:
Epworth Brighton
Epworth Camberwell
Epworth Richmond
For referrals and enquiries please contact:
1300 46 REHAB or [email protected]
For referrals and enquiries please contact:
1300 46 REHAB or [email protected]
INPATIENT
INPATIENT
OUTPATIENT
OUTPATIENT
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Pulmonary Rehabilitation
The Pulmonary Rehabilitation Program is designed
to maximise health through exercise, education and
support.
The program is provided for inpatients and
outpatients and aims to:
• Decrease disability by regaining strength and
endurance lost as a result of inactivity and
steroid-induced muscle weakness
• Reduce symptoms of breathlessness and fatigue
by improving exercise capacity and teaching
pacing, as well as energy conservation strategies
• Target mood disturbances such as anxiety
and depression, as well as providing practical
coping strategies and counselling to improve
competence and mastery
• Improve overall quality of life, including
increased participation in physical and social
activities
Specific issues such as medications and their use,
nutrition, home oxygen therapy, sputum clearance
techniques, home set-up and support services and
community supports are also addressed as part of
the Pulmonary Rehabilitation Program.
Available at:
Epworth Brighton
Epworth Camberwell
For referrals and enquiries please contact:
1300 46 REHAB or [email protected]
Cardiorespiratory
INPATIENT
OUTPATIENT
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Sleep Studies
Cardiac Rehabilitation
The Sleep Unit offers comprehensive overnight
studies to observe and diagnose a wide range of
sleep disorders such as periodic limb movement
disorder, narcolepsy and insomnia. Sleep analysis is
conducted in comfortable soundproof private rooms
with advanced non-invasive monitoring equipment.
Additional services provided by the Sleep Unit
include a Continuous Positive Airway Pressure (CPAP)
Therapy Clinic and multiple sleep latency testing.
Epworth provides comprehensive cardiac
rehabilitation aimed at:
• Maximising physical functioning and recovery
• Assisting and encouraging behaviours that
minimise the risk of further cardiac problems
• Improving confidence, psychological and social
functioning
• Enabling patients to resume a normal lifestyle
Available at:
Epworth Camberwell
For referrals and enquiries please contact:
1300 46 REHAB or [email protected]
The intensive programs provide education,
encouragement and opportunity to practise lifestyle
changes in daily activities as well as help to build
community support networks for patients and their
families.
Available at:
Epworth Brighton
Epworth Camberwell
For referrals and enquiries please contact:
1300 46 REHAB or [email protected]
INPATIENT
INPATIENT
OUTPATIENT
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Neurological
Interdisciplinary neurological rehabilitation is
provided to patients with a range of neurological
diagnoses including:
• Stroke
• Brain tumour
• Multiple Sclerosis (MS)
• Guillain Barre Syndrome
• Parkinson’s disease
The team is dedicated to providing individuallytailored programs based on the individual needs
and goals of the patient and their family. The aim
is to maximise patients’ physical and cognitive
independence while supporting them and their
families following their neurological disorder. The
team provides discharge planning and organisation
of ongoing services, including referrals for
outpatient therapy programs.
Available at:
Epworth Brighton
Epworth Camberwell
Epworth Richmond
For referrals and enquiries please contact:
1300 46 REHAB or [email protected]
Neurology
INPATIENT
OUTPATIENT
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Acquired Brain Injury
Spasticity Clinic
The specialised Acquired Brain Injury (ABI) Unit is
internationally recognised for its expert care and
innovative research programs with academic links to
all Victorian universities.
The Spasticity Clinic is a specialised interdisciplinary
clinic run by a rehabilitation physician,
physiotherapist and an occupational therapist. Its
purpose is to provide comprehensive assessment
and long term management for individuals with
either upper limb or lower limb spasticity as a result
of a neurological condition. Adults and adolescents
with a neurological condition such as stroke,
traumatic brain injury, multiple sclerosis, spinal cord
injury, cerebral palsy and neuropathies are suitable
for management in the Spasticity Clinic.
The inpatient and outpatient programs provide
treatment for people from the early stages after
emerging from a coma through to addressing issues
relating to their return to community living.
Therapy teams include specialists in rehabilitation
medicine, nurses, physiotherapists, psychologists,
speech pathologists, occupational therapists, social
workers, dietitians and vocational counsellors.
They work to develop goals with patients and their
families aimed at maximising a person’s level of
independence following ABI.
Using a patient-orientated system of teamwork,
individual and group therapy programs are
instituted for both inpatients and outpatients
using the latest techniques and equipment for
both cognitive and physical rehabilitation. Two
community-based programs are also available for
brain injury patients; the Community Integration
Team (CIT) and the Transitional Living Centre (TLC).
A key element of the program is that patients
are followed up for many years following initial
presentation, enabling early identification and
management of difficulties that can occur following
resumption of normal life.
Treatment initiated in the clinic includes
physiotherapy and occupational therapy as well as
the use of oral medications for generalised
spasticity or botulinum toxin where appropriate for
individuals with focal spasticity. For those who have
required botulinum toxin, concomitant therapy and
home exercises are required to maximise effect.
Available at:
Epworth Camberwell
Epworth Hawthorn
For referrals and enquiries please contact:
1300 46 REHAB or [email protected]
Available at:
Epworth Camberwell
Epworth Richmond
For referrals and enquiries please contact:
1300 46 REHAB or [email protected]
INPATIENT
OUTPATIENT
OUTPATIENT
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Olfactory Impairment Clinic
Parkinson’s Program
Epworth Rehabilitation is the first rehabilitation
facility within Australia to offer an Olfactory
Impairment (OI) Clinic. This specialised clinic
provides assessment and education for individuals
who have suspected changes in their olfaction
(sense of smell). Most commonly individuals who
attend the clinic are those whom have smell changes
post traumatic brain injury, however services are
also provided to individuals with facial fractures,
Parkinson’s disease, stroke and other neurological
conditions as needed.
A multidisciplinary inpatient and outpatient
program has been developed for patients with
Parkinson ’s Disease (PD). This service aims to
ensure that every opportunity is provided for
patients to achieve their full potential by promoting
independence and assisting with strategies to assist
patients and their families cope with a change in
health status.
The OI Clinic aims to assist individuals by:
• Completing a comprehensive assessment of their
smell function
• Providing clients with an objective score of
severity of impairment
• Providing targeted education on changes to
smell and associated taste changes
• Assisting clients to access resources and
treatments for changes
The program is managed by speech pathologists
that specialise in this area. Additional referrals
to other allied health services will be made as
required. Group consultations with other individuals
experiencing similar loss can be arranged, for
instance cooking groups with local chefs experienced
in flavour enhancing techniques.
Available at:
Epworth Camberwell
Epworth Richmond
For referrals and enquiries please contact:
1300 46 REHAB or [email protected]
Epworth employs speech pathologists certified
in the delivery of the LSVT® (Lee Silverman Voice
Treatment) LOUD program. This is an intensive
program targeting increasing vocal loudness,
intelligibility, facial expression and confidence in
Parkinson’s patients.
The LSVT® BIG program is also offered by trained
occupational therapists and physiotherapists, which
focuses on improving the size of movement. Many
patients with PD are affected by slow and small
movements. The LSVT® BIG program is especially
beneficial for these individuals.
Well defined links with Epworth Clinic (mental
health service) enables a holistic approach and
provision of care for those patients who require
additional support.
Available at:
Epworth Brighton
Epworth Camberwell
Epworth Richmond
For referrals and enquiries please contact:
1300 46 REHAB or [email protected]
INPATIENT
OUTPATIENT
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OUTPATIENT
Vestibular Rehabilitation
Program
The Vestibular Rehabilitation Program is for
individuals with symptoms of dizziness and/or
imbalance as a result of damage to the inner ear
or brain. This is a specialised multidisciplinary
service with skilled therapists specifically trained in
managing vestibular disorders.
An individualised treatment program is developed to
address the patient’s specific goals.
The physiotherapist assesses and treats any physical
problems that may occur as a result of the dizziness,
including issues with mobility, balance, falls or fear
of falling and vestibular exercises. Impairments to
the reflexes associated with the vestibular system
are also reviewed. Occupational therapy focuses
on the assessment and treatment of functional
issues in any daily activities that arise. The
psychologist helps address any primary or secondary
psychological issues related to the problems of
dizziness, including fear of falling or depression.
A neurologist oversees individual care coordination;
liaising directly with the treating therapists to
ensure the best possible outcome for the patient.
Available at:
Epworth Brighton
Epworth Camberwell
Epworth Richmond
For referrals and enquiries please contact:
1300 46 REHAB or [email protected]
INPATIENT
OUTPATIENT
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Oncology
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Enhance Breast Cancer
Rehabilitation Program
RECON Program
The Breast Cancer Rehabilitation program provides
specialist support for women with localised breast
cancer following the completion of their acute
treatment. It is specifically tailored to women
experiencing physical limitations such as fatigue
and loss of strength, as well as any emotional issues
related to the treatment or their future post breast
cancer. It is designed to empower women to regain
their sense of self through education related to diet,
finances, relationships, body image, supports and
exercise.
Patients who undergo treatment for cancer often
become deconditioned. The RECON program
(Neurological REhabilitation with CONcurrent
radiation/TMZ for glioma) offers neurological
inpatient rehabilitation while providing
simultaneous oncological treatment. This
collocation facilitates effective rehabilitation,
helping people minimise the deconditioning that
often occurs during radiation and chemotherapy
treatment.
Available at:
Epworth Camberwell
Epworth Hawthorn
For referrals and enquiries please contact:
1300 46 REHAB or [email protected]
It aims to maximise a person’s physical and cognitive
independence, in preparation for resumption of
normal life following treatment.
Available at:
Epworth Richmond
For referrals and enquiries please contact:
1300 46 REHAB or [email protected]
INPATIENT
OUTPATIENT
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Falls Prevention
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Falls Prevention and
Balance Program
Balance Disorders Clinic
Epworth runs a comprehensive, multidisciplinary
Falls and Balance program, accepting both inpatient
and outpatient referrals.
Our Balance Disorders Clinic at Epworth Camberwell
is run by specialist neuro-otologists and neurologists
who diagnose balance disorders that affect the
vestibular system and cerebellum. The clinic offers
cutting edge technology including infra-red and
high speed video-oculography. These are diagnostic,
non-invasive video based methods of measuring eye
movements, which can rapidly identify and quantify
vestibular and cerebellar causes of imbalance.
This program aims to:
• Improve physical wellbeing
• Increase confidence and independence,
especially with mobility and community access
• Minimise risk of falling and the consequences of
falls in the at-risk populations
The program includes physiotherapy and
occupational therapy, as well as psychology services
and dietetics as required. The program involves
individualised balance retraining, stretching and
strengthening exercises, and gait re-education. Gait
aids are prescribed when required.
Education and practice of safety strategies for
completing activities of daily living is also included.
A home assessment, community access training and
prescription of modifications and aids may also be
covered.
Available at:
Epworth Brighton
Epworth Camberwell
The clinic is suitable for all patients who present
with dizziness, vertigo, gait disturbances or
problems with coordination.
Following diagnosis, some patients will then be
referred on to our Vestibular Rehabilitation Program,
which is offered at three sites, Epworth Camberwell,
Epworth Brighton and Epworth Richmond. This
is a specialised multidisciplinary service with
skilled therapists specifically trained in managing
vestibular disorders.
Available at:
Epworth Camberwell
For referrals and enquiries please contact:
1300 46 REHAB or [email protected]
For referrals and enquiries please contact:
1300 46 REHAB or [email protected]
INPATIENT
OUTPATIENT
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OUTPATIENT
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Driver Rehabilitation Program
Following an injury or illness, physical and cognitive
problems may affect a person’s ability to drive safely.
Epworth was the first facility in Australia to
commence occupational therapy driver assessment
and rehabilitation. The Driver Rehabilitation
Program aims to assist people to return to driving
when they are safe and ready.
All referrals to the program must also include a
medical clearance report.
The program includes:
• Off-road assessment which reviews vision,
physical problems, reaction times , driving
history and knowledge of road laws
• On-road assessment in a dual control car with a
driving instructor and an occupational therapist
• A report is forwarded to VicRoads with
recommendations which may include: return to
driving, driving lessons , a restricted licence or
licence suspension if the driver is considered to
be unsafe
The most advanced driving simulator has recently
been acquired, providing a safe and stress free
environment for patients to learn the use of vehicle
modifications. It can also provide basic driver
training for learner drivers with a disability, but does
not replace on-road driver assessment and training.
Driver
Rehabilitation
Available at:
Epworth Hawthorn
Epworth Richmond
For referrals and enquiries please contact:
1300 46 REHAB or [email protected]
OUTPATIENT
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Vocational Rehabilitation
Vocational rehabilitation involves transitioning
individuals back into the workforce following
their injury or illness. The vocational occupational
therapist is a return-to-work specialist whose role
involves coordinating the return-to-work program
by liaising with individuals, their employer and their
treating team. This service involves assessment of
the workplace and duties, and development of a
written graded return-to-work plan. Regular reviews
are conducted in the workplace to monitor progress
and new return-to-work plans are then prepared
that outline any changes to work hours and
responsibilities.
Vocational counselling can also be provided to
explore alternative employment or work related
course options for those who are unable to return to
their previous employment where appropriate.
Available at:
Epworth Brighton
Epworth Camberwell
Epworth Hawthorn
Epworth Richmond
For referrals and enquiries please contact:
1300 46 REHAB or [email protected]
Vocational
Rehabilitation
OUTPATIENT
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Community
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Transitional Living Centre
Community Integration Team
This service provides a unique rehabilitation
program assisting persons with brain injury regain
skills to enable them to return to live at home and
function in the community.
The Community Integration Team is comprised of
dedicated Rehabilitation Specialists and allied health
professionals who implement home or community
based therapy programs for people with brain
injuries, which include the following:
The Transitional Living Centre (TLC) is staffed by a
skilled specialist team comprising allied health and
rehabilitation specialists. This residential program is
tailored to meet the needs of individuals and builds
on their ability to regain skills.
The program may be provided in conjunction with
other therapy. The TLC is available for patients who
have a brain injury, with and without insurance
cover.
For referrals and enquiries please contact:
4/33 Pender St
Thornbury VIC 3071
Phone 03 9416 9820
Email [email protected]
• Providing individual therapy at a person’s home,
work, school, gym or local community
• Providing training in improving every day living
skills
• Preparing people for return to study or the work
force
• Counselling for individuals and their families
• Assessing and revising the need for support/
services/equipment within the home
• Assistance to find local community services
• Review and provision of therapy services for
clients with lifetime support needs
• Neuropsychological assessment and intervention
The program may be provided in conjunction with
other therapy.
For referrals and enquiries please contact:
1300 46 REHAB or [email protected]
INPATIENT
OUTPATIENT
OUTPATIENT
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Our Locations
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BURKE R
TON S
T
72
TURNER
E RD
85 Wilson Street
Brighton Vic 3186
Phone: 03 9592 9200
Fax: 03 9593 1276
DEND
Email: [email protected]
YS
888 Toorak Road
Camberwell Vic 3124
Phone: 03 9809 2444
Fax: 03 9889 6756
Email: [email protected]
Epworth Hawthorn
Epworth Richmond
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50 Burwood Road
Hawthorn Vic 3122
Phone: 03 9415 5777
Fax: 03 9415 5788
Email: [email protected]
89 Bridge Road
Richmond Vic 3121
Phone: 03 9426 6666
Fax: 03 9427 0353
Email: [email protected]
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