Thursday, March 11, 2010




Aged Care

Aged Care Assessment Service (ACAS) Referal Template

Chronic Disease GPMP & TCAs

Asthma GPMP & TCA MD.rtf
Diabetes GPMP & TCA MD
Osteoarthritis GPMP & TCA MD
GPMP & TCA MD
ADGP GPMP 721
ADGP GPMP Review 725
ADGP TCA 723
ADGP TCA Review 727

Diabetes Prevention

Australian Diabetes Risk Tool MD Template
Lifestyle Modification Programs Referral to Melbourne East GP Network (Argus enabled)
GP referral form for Best practice (Word)
Referral via Melbourne East GP Network

Medicare GP Referral Form PDF

Health Assessments

45-49 Health Check Patient Health Survey
This survey has been developed by the GP Network to support the health check.

45-49 Health Check Assessment Template
75+ Health Assessment

Healthy Kids Check MBS Item 709 and 711

Docs/EHealth/MedicalSoftwareTemplates/Healthy Kids Assessment No logo www.health.gov.au

Immunisation  

Conscientious Objection Form (MD)
Medical Contraindication Form (MD)

Intellectual Disability Assessment

Intellectual Disability Assessment 718 Template MD

Maroondah Breastscreen

Maroondah Breastscreen Request Forms

Mental Health

2710 GP Mental Health Plan
K10 MD Template
Updated 3 Step Mental Health Template for Better Outcomes in Mental Health
The 3 Step Mental Health updated template covers Step One - Assessment and Step Two- Plan, similar to the hard copy supplied in your GP Referral Pack. The Mental Health Review section remains the same in Medical Director under 'Supplied - Mental Health Review'.

National Bowel Cancer Screening Program

Instructions on how to upload the template
The template can be integrated into Medical Director, Best Practice, ZedMed and GP Complete. The template will be accepted by the NBCSP National Register as it includes the same information and format as the paper-based form.

National Bowel Screening Program GP Assessment Form
The form was developed by the North East Valley Division of General Practice.

Refugee Health Assessment

Refugee Health Assessment Template MD

Victoria Statewide Referral Form (VSRF)

www.gpv.org.au

VSRF Implementation in GP Software PDF Instructions for dowloading the VSRF from this website (MD, Best Practice, ZedMed, GP Complete)
VSRF for Medical Director
Medical Director Instructions for the VSRF
VSRF for Best Practice
VSRF for Practix

Work Cover

Victorian Workcover Authority (VWA) Certificate of Capacity template
Workcover Template - no colour for inkjets