Templates

Resources - Resources

TEMPLATES

 CHEATSHEETS are for:   Best Practice     &   Medical Director                              

Chronic Disease Management - EPC

721/723 - Combined GP Managment Plan & Team Care Arrangements

Health Assessments

708 0-4 yrs - 708 5-9 yrs - 708 10-14  ATSI Child Health Checks

709/711 - Healthy Kids Checks 0-14 yrs (Payable 9 monthly)

710 - Adult Health Check at Consulting Room (Payable 18 monthly)

712 - Comprehensive Medical Assessment (CMA) (Payable Annually)

713 - Diabetes Type 2 Risk Evaluation 40-49 yrs (Payable 3 yearly excluding Item 717)

• Lifestyle Modification Program (LMP) Referral Form
• Ausdrisk assessment form template

717 Female - 45-49 Year Old Health Check (Payable only once)

717 Male - 45-49 Year Old Health Check (Payable only once)

718/719 - Health Assessment of a patient with an Intellectual Disability (Payable annually)______________________________________________________________________________

Medication Management

903 - Participation by a GP in a Residential Medication Management Review  (Payable Annually)

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Other Templates

Referral - Antenatal Shared Care

Allied Health Referral Form

Dental Referral Form

Best Practice - Request for endoscopy

Medical Director - Request for endoscopy