- Health topics
allAboriginal healthAdvance care planningAged careAlcohol and other drugsCALD and refugeeCancerChildren’s healthCommissioningCOVID-19DiabetesDigital healthDisasterHepatitisImmunisationMental healthOlder peopleOverweight and obesityPalliative careVoluntary 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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Diabetes service referral form – Wollondilly
GPs may refer people living with type 2 diabetes who reside in Wollondilly LGA to the SWSLHD Wollondilly Diabetes Program for a consultation with an endocrinologist or diabetes educator using this form.
- Suited for
GP
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Software type
Best Practice, MedicalDirector
SWSPHN General Pracitioner Mental Health Referral Form
Do not open this template in your internet browser. Download this template and save to your computer to avoid file corruption.
Referrals should be sent directly to the SWSPHN Intake Team and not handed to patient. The allocated clinician will call the patient to discuss an appointment once the referral has been received and processed.
- Suited for
GP
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Software type
Best Practice, MedicalDirector
Liverpool Hospital Gastroenterology and Liver Services Remote Consultation Request for Initiation of Hepatitis C Treatment
General practitioners and nurse practitioners are eligible to prescribe hepatitis C treatment under the PBS.
- Suited for
GP, Practice Nurse
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
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
Headfyrst Referral Form
- Suited for
GP
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Software type
Best Practice, MedicalDirector
Odessey House Referral Form
- 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
Liverpool HCV Remote Consultation Request
Liverpool Sexual Health Clinic Remote Consultation Request for Initiation of Hepatitis C Treatment
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
iRAD Written Denied Consent template
GPs and other practice staff may choose to gain iRAD consent verbally or in writing.
If you choose to gain consent verbally, follow the steps and suggested script on this form when a patient has denied consent. Then save the template iRAD CONSENT DENIED into documents in the patient's medical record. Name the record "iRAD Consent Denied".
This will remove consent. No information will be recorded for this patient from your current care location in iRAD.
- Suited for
GP, Practice Manager, Practice Nurse
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Software type
Best Practice, iRAD, MedicalDirector