Hepatitis C

The Department will periodically contact patients waiting for an outpatient clinic appointment via SMS, with a link to an electronic form.  This is part of routine waitlist auditing to ensure patient details are up to date.  If you receive this SMS, please update your details.


North South North West Statewide

Pre-referral work-up


Pre-referral work-up

The clinic’s focus will be those people with advanced liver disease and those at high risk of complications including those co- infected with HIV or Hepatitis B.

Most patients with minimal liver damage can be managed in the community by Primary Care without a requirement for specialist advice for prescription completion.

Please note that direct acting antiviral medication for Hepatitis C can be prescribed by a medical practitioner experienced in the treatment of chronic hepatitis C infection; or in consultation with a gastroenterologist, hepatologist or infectious diseases physician experienced in the treatment of chronic hepatitis C infection. Those clinicians uncertain of prescribing or requiring support from the hepatology team to provide care should refer the patient to clinic


Please provide all requested information in your referral. Please refer patients to the clinic in your region.

Note: All referrals should comply with the Referral Standards and for all patients the following parameters assist in triage and potential choices of care. Please provide:

  • Estimated duration of HCV infection
  • Previous HCV treatment experience - date, regimen and response
  • Co factors for liver disease progression: alcohol intake, marijuana use, virological cofactors (HIV, HBV), diabetes, obesity
  • Current / past renal disease
  • Ischaemic heart disease or cardiovascular risk factors
  • Vaccinations history especially for Hepatitis A and B
  • Physical and psychiatric comorbidities
  • Ongoing risk factors for viral transmission and reinfection
  • Social issues — potential barriers to medication adherence Medication
  • Concomitant medications (prescription, over-the-counter, illicit)


  • Features of cirrhosis: hard liver edge, spider naevi, leukonychia
  • Features of decompensation or portal hypertension: jaundice, ascites, oedema, bruising, muscle wasting, encephalopathy
  • Weight and BMI



  • LFT
  • FBC
  • U&E
  • HBV serology
  • HIV
  • Fasting glucose Lipids results
  • HCV serology


Upper abdominal USS



Interim/GP management

To refer a patient with this condition, please see the Gastroenterology clinic page for the full referral process and templates.

At any stage early referral of co-infected patients and health care workers is recommended.

Acute infection

This has evolving evidence for treatment.

Refer early to clinic those who are:

  • co-infected with HIV or Hepatitis B
  • health care workers
  • unwell

Others repeat PCR after four weeks and review for consideration of referral for treatment if PCR remains positive.

Advise on harm minimisation from other liver toxins.

Vaccination for Hepatitis B is recommended and consider vaccination for Hepatitis A.

Further information available on the Health Pathways website.

Chronic infection

  1. Decision Making in Hepatitis C.
  2. Medication choices and process - ASHM Quick Ref Tool.

For more information please see the Tasmanian Health Pathways website.


Potentially life-threatening symptoms suggestive of

  • Acute severe GI bleeding
  • Acute liver failure
  • Sepsis in a patient with cirrhosis
  • Severe encephalopathy in a patient with liver disease

Urgent / category 1

  • Acute and/or chronic Hepatitis C with ALT >500
  • Acute and/or chronic Hepatitis C with concerning features – select any that apply:
    • Evidence of liver decompensation
    • Jaundice
    • Ascites
    • Encephalopathy

Semi-urgent / category 2

Acute and/or chronic Hepatitis C without concerning features (as above).

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Gastroenterology Society of Australia Hepatitis C page

Primary Health Tasmania - Hepatitis C Treatment form


Proceed to Emergency Department (ED).
LGH ED Reception  – Phone: (03) 6777 6405  Fax: (03) 6777 5201
MCH ED* – Phone: (03) 6478 5120  Fax: (03) 6441 5923
NWRH ED* – Phone: (03) 6493 6351 Fax: (03) 6464 1926
RHH ED Reception – Phone: (03) 6166 6100  Fax: (03) 6173 0489

Advice for medical practitioners can be given by the Medical Officer In Charge (MOIC) - see HealthPathways Tasmania for contact information.
*MCH and NWRH MOICs request GPs call them prior to referring a patient to ensure the patient is being sent appropriately to a safe destination.


We will endeavour to see these patients within four weeks

Urgent referrals should be accompanied by a phone call to the clinic and the relevant doctor for urgent assessment, or patient should be directed immediately to the Emergency Department.


We will endeavour to see these patients within 12 weeks


Next available appointment