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What we do

The Multidisciplinary Ambulatory Consulting Service (MACS) is an outpatient clinic run by the Department of Clinical Pharmacology, dedicated to providing specialised care for patients with complex chronic conditions.

Services

  • Complex multimorbidity management
  • Long COVID assessment
  • Autonomic testing and management
  • Psychological Support: counselling and mental health care for patients
  • Toxicology Services, in collaboration with the Toxicology Department
  • Haematological malignancy support, focusing on complex medication needs.

Where to find us

Outpatient appointments for MACS are located at 1/21 North Terrace, Adelaide 5000, opposite the RAH.

Who we are

Consultants

  • Dr Rami Tadros - Clinical Pharmacologist, General Physician
  • Dr Nicholas Farinola - Clinical Pharmacologist, General Physician
  • Dr Angela Molga - Clinical Pharmacologist, Geriatrician.

Principal Medical Scientist

  • A/Prof Benedetta Sallustio

Pharmacist

  • Nicole Wong

MACS Clinic

  • Allyson Rappensberg - Nurse Consultant
  • Angel Thangaraj - Clinical Nurse
  • Marie Dow, Senior Health and Clinical Psychologist
  • Dr Alice O'Connell - General Medicine
  • Dr Tam Le Cong - General Medicine.

Administrative Officers

  • Maricel Tapire
  • Hemalatha Prasad.

This page was last updated 13 June 2025.

Once your referral has been received it will be triaged according to clinical urgency.

If your referral is accepted, you will either:

  • receive a letter, phone call or text message confirming your appointment time, date and location
  • receive a letter confirming you have been waitlisted for an appointment.

If the referral is declined, your GP or referring medical practitioner will be notified.

Your outpatient appointment

Contact us to:

  • change your appointment time
  • cancel your appointment
  • find out triage status
  • general outpatient enquiries.

If you need to cancel or change your appointment time, let us know as soon as possible.

Outpatient services

Find out information about specialist outpatient appointments, how to be referred, plus information when attending an outpatient clinic.

Resources

This page was last updated 13 June 2025.

eReferrals are preferred. 

To ensure timely triage, include all demographic and clinical details:

  • reason for referral
  • comprehensive medical history
  • current medications
  • relevant specialist letter and test results
  • additional notes.

The service triages referrals according to clinical urgency. 

Long Covid assessment referral

For referrals related to Long COVID assessment, referrers must complete the statewide referral form and submit it along with a referral letter. 

This ensures patients are assessed in line with current Long COVID guidelines.

Urgent and serious referrals

If you are concerned about the appointment being delayed or if the patient's condition is deteriorating, contact the registrar to discuss. 

Registrars are on call 24 hours a day, 7 days a week.

Patients requiring immediate assessment should be sent directly to the Emergency Department.

Discharge guidelines

Patients whose medical condition has stabilised or resolved, and where no further appointment has been made, will be formally discharged.

If medical assessment is required again, a new referral should be made explaining the reason.

This page was last updated 13 June 2025.

This page was last updated 13 June 2025.

This page was last updated 13 June 2025.

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