The results of the final for the Five Dock Rotary 200m Individual Medley Handicap held on 1 December 2018 were as follows:
| ID | Name | Position |
|---|---|---|
| 1243 | Elise BOROZAN | 1 |
| 1161 | Caragh PRICE | 2 |
| 1309 | Ziani VIOLA | 3 |
| 1283 | Armani JAMIESON | 4 |
| 1033 | Georgia KIRKPATRICK-JONES | 5 |
| 91 | Adam CHRISTODOULOU | 6 |
Winner: Elise BOROZAN