Sunshine Coast Division of General Practivce Ltd

Templates & Referrals

Please note templates must be saved and then imported to clinical software,
merge fields will be disabled if opened in Microsoft Word

TIPS FOR MEDICAL DIRECTOR

• Creating a Custom Link in Medical Director

NGH DIABETES REFERRAL TEMPLATE AND GUIDELINES

• NGH Diabetes Referral Guidelines
• Diabetes Referral - Medical Director (Template)
• Diabetes Referral - Best Practice (Template)
• Diabetes Referral - Paper Based Form 

COLONOSCOPY REFERRAL TEMPLATES

• NGH Colonoscopy Referral - Medical Director (Template)
• NGH Colonoscopy Referral - Best Practice (Template)
• NGH Colonoscopy Referral - Paper Based Form

• Noosa Colonoscopy Referral - Medical Director (Template)
• Noosa Colonoscopy Referral - Best Practice (Template)
• Noosa Colonoscopy Referral - Paper Based Form

• Gympie Colonoscopy Referral - Medical Director (Template)
• Gympie Colonoscopy Referral - Best Practice (Template)
• Gympie Colonscopy Referral - Paper Based Form

MENTAL HEALTH
(Item Number 2710)

• FOCUS Referral Form - Paper Based Template
• FOCUS Referral Form - Medical Director/Best Practice
• GP Mental Health Care Plan  - Paper Based Template
• GP Mental Health Care Plan - Medical Director/Best Practice

LIFESTYLE MODIFICATION PROGRAM 
(Under the prevention of type 2 diabetes program)

• General Practitioner Referral Form - Item 713
• The Australian Type 2 Diabetes Risk Assessment Tool - AUSRISK

HEALTHY KIDS CHECK
(Item Numbers 709 & 711)

• Template

45 YEAR OLD HEALTH CHECK

• Template
• Patient Letter - Generic (Item 717)
• Patient Letter - Risk Factor (Item 717)
• Health Check Resources - 45-49 year old health check

CHRONIC DISEASE MANAGEMENT

• 721 GP Management Plan / 723 Team Care Arrangements
• 725 Review of GP Management Plan / 727 Review of Team Care Arrangements 

CORONARY HEART DISEASE

• GP Management Plan - Template
• Team Care Arrangements - Template

DIABETES MANAGEMENT

• GP Management Plan - Template
• Team Care Arrangement - Template

CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)

• Pulmonary Rehabilitation or Self Management in COPD Study (PRSM Study)
• Pulmonary Rehabilitation Referral Form - LungMax�
• Pulmonary Rehabilitation Referral Form - LungMax� [Best Practice]
• Pulmonary Rehabilitation Referral Form - LungMax� [Medical Director]

OTHER

• GP Contribution to Care Plan (Item 731)
• Medical Assessment (CMA 712)

• General Practitioners
• Practice Managers
• Practice Nurses
• Receptionists
• Resources