Multidisciplinary Ambulatory Consulting Service (MACS) - CALHN outpatient services

The MACS clinic provides outpatient services to patients living in the Central Adelaide Local Area Health Network (CALHN). MACS is a multidisciplinary service supporting patients with multiple and complex chronic conditions who are at risk of being hospitalised.

The service combines evidence based clinical guidelines, patient centred practice and a shared care approach with general practitioners to enable patients to optimise their health and wellbeing and reduce hospital admissions.

Criteria for referral

>Patients that:

  • require complex medical management  due to multimorbidity
  • frequently present to the emergency departments, requiring hospital admissions
  • require medication optimisation
  • would benefit from holistic care management with multidisciplinary input
  • require coordination of care, as they see multiple medical specialists and would benefit from case management.
  • require further health education and support for effective self-management.
  • are transitioning from paediatric chronic care management to the adult system.

For patients in residential care facilities please contact our team directly to discuss the most suitable follow-up options which may include discussion with other services.

Referral process

  • Clinic fax (for referrals): (08) 84296070
  • Named referrals are accepted. Please state the reason for referral.
  • Comprehensive referrals including medications and a problem list assist with triaging
  • Triage categories include:
    • Immediate appointment (please call if the referral is urgent)
    • Category 1 (<4 weeks)
    • Category 2 (1-3 months)
    • Category 3 (>3 months)

Bulk bill clinics: (named referral required)

  • Dr Sepehr Shakib
  • Dr Rami Tadros
  • Dr Josephine Thomas
  • Dr Tam Le Cong
  • Dr Gao-Jing Ong

Referral forms

General information

  • If the patient, or their general practitioner, is concerned about deterioration in the medical condition, and assessment is required earlier than planned, a phone call to the Chronic Disease Nursing staff on 0434362390 or to RAH Clinical Pharmacology Department on (08) 7074 2701 will allow this to be discussed with one of the team members.

Post discharge guidelines

  • Patients will be discharged once their medical conditions have stabilized. If re-assessment is required, a new referral, preferably a named referral (see consultant list), should be faxed to the RAH Outpatients Referrals Hub on (08) 7074 6247.

Appointment location – Outpatients

Royal Adelaide Hospital (RAH)  Wednesday afternoons and Friday afternoons

  • RAH Level 5 East Outpatients
    1 Port Road, Adelaide SA 5000
    Please view the Outpatient map (go to level 5 map)

Sefton Park Primary Health Care Services  Tuesday mornings

  • 221 Main North Road Sefton Park 5083

Contact details


  • Appointment enquiries: (08) 7074 2701

  • Review / change of appointments: (08) 7074 2701 

Department location

  • Clinical Pharmacology Department/ MACS Team
    Level 8, RAH, 1 Port Road, Adelaide SA 5000
    Telephone: (08) 7074 2701 
    Fax: (08) 8429 6070

Multidisciplinary team members

Medical staff

  • Professor Sepehr Shakib (Director of Clinical Pharmacology) 
  • Dr Rami Tadros (Clinical Pharmacologist, General Physician)> 
  • Dr Nicholas Farinola (Clinical Pharmacologist, General Physician, Hospital at Home Consultant)
  • Dr Josephine Thomas (General Physician)
  • Dr Tam Le Cong (General Physician)
  • Dr Alice O’Connell (General Physician)
  • Dr Jessica Gehlert (Endocrinologist)
  • Dr Gao –Jing Ong (Cardiologist)
  • Dr Tom Polasek (Clinical Pharmacology RMO)

Case coordinators

  • Allyson Rappensberg (Chronic Disease Nurse Consultant)
  • Georgina Walker (Chronic Disease Clinical Nurse)

Allied Health

  • Amanda Shields (Occupational Therapist)


  • Natalie Soulsby
  • Nashwa Masnoon


  • Todorka Grammatopoulous

Patient information

Please view the patient information sheets below for more information: