Aged Care Forms

Aged Care Forms and Resources are now hosted on the Aged Care Resources section of the PPCN Website

Mental Health

General Forms

Title	Format
Better Access Flow Chart	PDF
Better Access Item Numbers & Rebates	PDF
Better Access Patient Pathways	PDF
Better Outcomes Referral Form	PDF
Explanatory Notes - Better Access	PDF
Explanatory Notes for Items 81000 to 81010	PDF
GP Mental Health Care Plan Information	PDF
MBS MH Item Numbers - Table	PDF
Sample 1 - MH Assessment and Plan	PDF
Sample 2 - MH Assessment and Plan			Word

AUDIT: Alcohol Use Disorders Identification Test

GP Coastal is happy to make available a copy of the AUDIT (Alcohol Use Disorders Identification Test) form. This is a GP-friendly screening tool with scoring instructions.

Click here to view the AUDIT form.

Next Step Forms

This form can be used to refer patients to the Northern Drug and Alcohol Centre in Warwick, which is a 'one-stop shop' for patients with drug and alcohol issues.

Title	Format
Next Step 1 Page Quick Referral Form	PDF	RTF	Word	MDW2

Note: You will need a copy of Adobe Acrobat Reader to view these documents

Chronic Disease Management Forms

Over 45 Health Check Forms

Title	Format
Checklist - DOHA	PDF
Checklist - RACGP	PDF
Factsheet	PDF
Presentation - RACGP	PDF
Q & A	PDF
Template (Item 717)		RTF	WORD	MDW2
Wall Chart	PDF

Asthma

Title	Format
Asthma Cycle of Care 1	PDF

New CDM Item Number Information

Title	Format
GP Manangement Plan (MBS Item No. 721)	PDF
Team Care Arrangements (MBS Item No. 723)	PDF
GP Manangement Plan (MBS Item No. 721) &     Team Care Arrangements (MBS Item No. 723)	PDF	RTF	Word	MDW2
Referral Form for Allied Health Services under Medicare	PDF
Frequenty Asked Questions	PDF

Note: You will need a copy of Adobe Acrobat Reader to view these documents

Diabetes Forms

Diabetes Forms and Resources are now hosted at the Diabetes Resources section of the PPCN Website

Practice Nurses

Title	Format
Medicare Nursing Item Numbers for Woundcare & Immunisation	PDF
MBS items for Pap smears preventive checks - Nov 06	PDF
MBS items for Pap smears in all areas- Nov 06	PDF

Note: You will need a copy of Adobe Acrobat Reader to view these documents

Referral Forms

North Metropolitan Area Health Service

The following forms have been provided with the assistance of the Department of Health (WA) and North Metropolitan Area Health Service;

Title	Format
Metropolitan Hospital Outpatients	PDF	RTF	Word	MDW2
North Metropolitan Area Health Service Area Mental Health Service Form	PDF	RTF	Word
Referral to Emergency Department	PDF	RTF	Word	MDW2	Spectrum
Referral to Antenatal Clinic	PDF	RTF	Word	MDW2	Spectrum

Other Referral Forms

Title	Format
Alcohol Pharmacotherapies Call-back Service			Word	MDW2	Spectrum
Better Outcomes Referral Form	PDF
Next Step referral form	PDF	RTF	Word	MDW2
Referral for Hip/Knee replacement at Osborne Park Hospital	PDF	RTF	Word	MDW2

Note: You will need a copy of Adobe Acrobat Reader to view these documents

Form Installation Help

Medical Director

1. Download the templates to your computer.
2. Open Letter Writer in Medical Director (on the Tools Menu).
3. Go to File, Modify Template, Blank Template.
4. Go to File, Import. Select the downloaded template file and Save.

Medical Spectrum (IBASpectrum) Classic

1. Download the templates to your computer.
2. Save the template files to the "c:\mss\mssdata\template" folder on your server.
3. From the main screen of Medical Spectrum, go into System.
4. Go to System Setup > Templates > Letter Templates, then click New.
5. Type a name for the letter under Template Description.
6. Type in the full name of the file that you saved into the \mss\mssdata\template\ folder (don't forget to include the .dot extension eg: bcspref.dot). Click Save.