COVID-19 Update

Please phone ahead prior to walking into the Chest Clinic.

The Parramatta Chest Clinic is a specialised service which provides screening, treatment and education for conditions related to tuberculosis.

The Parramatta Chest Clinic is part of the Department of Respiratory and Sleep Medicine, Westmead Hospital.  It is located in Parramatta and is an offsite outpatient (day) clinic.  


What we do

Where to get a chest x-ray

To obtain a chest x-ray please;

  • attend your local hospital who will perform a chest x-ray free of charge
  • OR attend a private radiology service where you will pay a fee as agreed with the service

Please note: The Parramatta Chest Clinic is not able to perform chest x-rays.

How to access this service (includes BCG vaccination)

Depending on your situation you may need a referral from your GP to access this service. More details are provided in the tabs below.

General information

  • BCG vaccinations require a referral and booking. Bookings are made via the NSW Ministry of Health website
  • Health Vaccination Cards for students and pre-employment require an email from the prospective employer to WSLHD-Parramatta-ChestClinic@health.nsw.gov.au. No other referral is required.
  • Health screening for medical treatment require a referral 
  • Immigration screening is referred by BUPA
  • Contact tracing can be self referred  


GP referrals

Patients with pulmonary TB symptoms must have a chest x-ray before referring to the Parramatta Chest Clinic. 

Other considerations before referral include;

  • ordering an IGRA blood test,
  • chest x-ray,
  • 3 consecutive morning sputum samples (tested for AFBs on smear, culture and PCR)

Please include as much information as you can in your referral. At a minimum the Parramatta Chest Clinics requires;

  • patient’s name, date of birth, address and phone number
  • indication if an interpreter is required (and what language),
  • information about what tests have been performed and the results.

GP referrals to The Parramatta Chest Clinic can be emailed to WSLHD-Parramatta-ChestClinic@health.nsw.gov.au

Tuberculosis screening for students and health care workers

All students and health care workers attending health care placement (clinical placement) or working in the hospital need to be screened for TB.

TB screening

Students / health care workers attending clinical placement or commencing work in a hospital require TB screening in order to keep potentially harmful infections out of our hospitals

Additional screening is required for students and health care workers workers born in a TB high risk country or who have travelled to a TB high risk country for a cumulative period of more than three months.  Please refer to the TB high risk country tab for screening information.

Please download the flowchart and review the tabs to determine the screening required for your situation.





TB high risk country

Please download and check the TB high risk country list to confirm the correct screening required for your situation.

Students / health care workers born in a TB high risk country or who have travelled to a TB high risk country for a cumulative period of more than three months are required to see their GP for a Quantiferon Gold blood test (aka IGRA).

The Parramatta Chest Clinic is not able to do the Quantiferon Gold blood test.

The Quantiferon Gold blood test is;

  • different to other blood tests
  • different to serology
  • arranged through your GP and costs between $30 - $50

The Quantiferon Gold blood test should not be done within 4 weeks of receiving the MMR or varicella vaccine.

Quantiferon Gold blood test results; 

  • if positive you will require a referral from your GP for a chest x-ray.  The chest x-ray can be taken at a radiology service in any location. The Parramatta Chest Clinic is not able to take chest x-rays.
  • if negative your GP can sign-off for TB compliance.

Please note: the Parramatta Chest Clinic is not able to do the Quantiferon Gold blood test or take chest x-rays

TB assessment tool

All students and health care workers need to complete the TB assessment tool

Students and health care workers from TB high risk countries need to have an additional Quantiferon Gold blood test (aka IGRA) and possible x-ray.  Please refer to TB high risk country tab for information.

Please note: the Parramatta Chest Clinic is not able to do the Quantiferon Gold blood test or take chest x-rays






Where to send

All students and health care workers need to send  a copy of their; 

Students and health care workers that were born in a TB high risk country or who have travelled to a TB high risk country for a cumulative period of more than three months also need to send;

  • Quantiferon Gold Blood test results (aka IGRA)
  • AND Chest x-Ray report where the Quantiferon Gold Blood test results is positive

Please email your information to WSLHD-Parramatta-ChestClinic@health.nsw.gov.au.

Your email will be responded to promptly.

Tuberculosis screening for overseas visitors

Also known as BUPA referrals

People applying for a long term visa (>6 months)

Tuberculosis Health Undertakings (TBUs) and Onshore deferrals

Australia has a very low incidence of Tuberculosis (TB) and part of the immigration health screening process is to ensure infectious diseases like TB, don’t become a problem in Australia.

People from overseas that plan to visit Australia for a period of 6 months or longer are required to undertake a health check. This health check is part of the visa application requirement.

BUPA is contracted by the department of Home Affairs (dept. of immigration) to undertake these mandatory checks.

High risk countries

Overseas visitors that originate from a TB High Risk Country  require a health check.  If during your health check something abnormal is detected you will require a referral for TB screening. 

TB screening is performed at the chest clinic closest to where plan to reside. 

The TB screening process has different names depending on where you applied for your long term visa. 

  • Tuberculosis Health Undertaking (TBU) is the TB screening name if you applied for your long term visa overseas  
  • Onshore Deferral is the TB screening name if you applied for your long term visa in Australia 




Abnormalities

Some abnormalities detected during screening that relate to TB are:

  • Sputums that test positive for TB
  • An abnormal Chest X-Ray; sometimes due to previous TB infection or disease, existing abnormalities or maybe a recent chest infection
  • A positive IGRA or TST / Mantoux test (this is a blood test that tests for the presence of TB infection) and is usually the case when children are referred

Those with an abnormal CXR that have sputums negative for TB are granted a conditional visa.  The condition is that you attend a chest clinic for follow up.

If you are referred to a chest clinic your Chest X Ray is not normal.

If you are found to have TB whilst in Australia, you will be granted a conditional visa.  The condition means that you attend medical appointments and follow the doctor’s instructions.

Children

BUPA usually refer children to a chest clinic because they have a positive TST (Mantoux test) or a positive Quantiferon Gold blood test (a blood test called an IGRA).

If referred your child will be sent to Westmead Children’s Hospital for another IGRA blood test.

If after attending Westmead Children’s Hospital the IGRA is positive your child will be sent for a Chest X-Ray and booked for a doctor’s review.





Change of address

BUPA needs to be informed of any change of address.  The reason is you are allocated to a local chest clinic based on your postcode.

You can change your address:

In person at BUPA’s office – find your local BUPA medical and visa services office at http://www.bupamvs.com.au/contact-us

Or by email: enquiries@bupamvs.com.au




Links

Please look at this sheet to understand the process of how you will be screened for TB. This is only the process for the Parramatta Chest Clinic; each chest clinic has a slightly different process.




Cost for this service

  • All investigations, monitoring and treatment of active or latent tuberculosis is free of charge. No Medicare card is required.
  • For tuberculosis screening for pre-employment and clearance for clinical placement, a $30 fee will apply. An additional cost may occur if a blood test is required to determine your tuberculosis status (Quantiferon-GOLD)
  • The BCG vaccine for tuberculosis is now free of charge

What to bring to your appointment

  • Proof of identification – Medicare card (if available)
  • Previous chest x-rays and CT scans (if available)
  • Adult vaccination card for pre-employment screening or screening of students for clinical placement
  • Appointment letter for medical appointments

Our staff

Position Name
Head of service Prof John Wheatley (Director Respiratory and Sleep Medicine)
Chest clinic physician Dr Jin-Gun Cho (Medical Director Parramatta Chest Clinic)
Chest clinic physician Dr A B Hamish Crawford
Chest clinic physician Dr Xiao HU
Chest clinic physician Dr Ming Teo
Chest clinic physician Dr Joseph Janjis
Chest clinic physician Dr Tri Ha-Minh
Nursing staff Star Gonzaga (Nursing Unit Manager)
Nursing staff Evan Ulbricht (Clinical Nurse Consultant & TB Coordinator)
Nursing staff Ahmad Ghafoor
Nursing staff Ragini Gengiah
Nursing staff Cherie Sullivan
Nursing staff Sadhana Sigdel
Nursing staff Karen Camat
Nursing staff Reta Toma
Administration staff Shannon Fox
Administration staff Manjima Nallure

How to get to our service

Our service is located in Jeffery House within the Parramatta Justice Precinct (PJP), at the intersection of Marsden & Phillip Streets.

Parking

On site parking

  • There is no general parking available on site
  • Limited disabled parking is available on site (you must have a current sticker). Please phone (02) 9843 3122 to book

Local parking options

  • Westfield Parramatta - Multi-level parking. Hours: 7am–midnight. Cost: 0-3 hours FREE
  • Parramatta Park - Time-limited free parking

Public transport

Getting here by train

Directions from Parramatta train station – exit station at Darcy Street, walk down Church Street to Phillip Street, turn left. The Chest Clinic is directly ahead at intersection of Marsden and Phillip Streets.

Planning your trip

Contact the Transport NSW Info service to plan your trip and obtain the latest timetable, fare and wheelchair access information.
Web: www.transportnsw.info
Phone: 131 500 (24 hours, 7 days a week)

Tuberculosis

BCG vaccinations

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