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allAboriginal healthAdvance care planningAged careAlcohol and other drugsCALD and refugeeCancerChildren’s healthChronic diseaseCOVID-19DementiaDiabetesDigital healthDisasterHepatitisImmunisationMental healthOlder peopleOverweight and obesityPalliative carePrimary Care health workforceVoluntary assisted dying
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Health programs
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Suited for
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Content type
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Software type
allBest PracticeiRADMedicalDirectorPOLAR
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My Care Partners referral form
Use this template to refer patients into the My Care Partners program.
- Suited for
GP
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Software type
Best Practice, MedicalDirector
SWSLHD Voluntary Assisted Dying – Central Support Service Referral Form
For advice and information regarding the completion of this referral please contact the Voluntary Assisted Dying – Central Support Service on 8738 6055 between 8:30am to 4:00pm or email SWSLHD-VAD@health.nsw.gov.au
- Suited for
GP
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Software type
Best Practice, MedicalDirector
Pulmonary Rehabilitation Program Referral Form
Pulmonary Rehabilitation is indicated for patients with chronic respiratory impairment who are dyspnoeic, have reduced exercise tolerance, or experience restriction to activities.
Your signature indicates that the patient is medically suitable to participate in exercise classes. Classes consist of a circuit of cardiovascular and strengthening exercises that are modified to each participant’s ability. Participants will be exercising for approximately 60 minutes a session with rest periods.
- Suited for
GP
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Software type
Best Practice, MedicalDirector
GPMP 721 and TCA 723
Chronic Disease Management Preparation of a GP Management Plan (GPMP) (MBS Item No. 721) Sample Form.
Do not open this template in your internet browser. Download this template and save to your computer to avoid file corruption.
- Suited for
GP
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Software type
Best Practice, MedicalDirector
My Care Partners Notification of Case Conference
Use this template to notify the Care Coordinator of a pending case conference confirmation.
- Suited for
GP
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Software type
Best Practice, MedicalDirector
Integrated Diabetes Care Case Conference Referral Form
Book a type 2 diabetes case conference to discuss patient management. Telehealth available.
- Suited for
GP
My Care Partners early discharge or withdrawal notification
Letter to the MCP Care Enabler advising of a patient's withdrawal or discharge from the My Care Partners program.
- Suited for
GP
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Software type
Best Practice, MedicalDirector
Metabolic Rehabilitation & Bariatric Program referral form
South Western Sydney Metabolic Rehabilitation & Bariatric Program at Camden Hospital.
- Suited for
GP
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Software type
Best Practice, MedicalDirector
My Care Partners case conference invitation
Use this template to invite specialists/and or allied health providers to a case conference for the patient's Team Car Arrangement (TCA).
- Suited for
GP
GP Mental Health Treatment Plan for Adults
Do not open this template in your internet browser. Download this template and save to your computer to avoid file corruption.
This document is not a referral letter. A referral letter must be sent to any additional providers involved in this mental health treatment plan.
- Suited for
GP
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Software type
Best Practice, MedicalDirector