Templates

Good Collections
Primary Health Tasmania
PHN-Central and Eastern Sydney - Large collection, but quite a few do not pre-populate.
PHN-Darling Downs
PHN-Murrumbidgee
PHN-South Western Sydney
PHN-Central Queensland
PHN Adelaide
PracSavvy
Chronic Disease Related
Asthma Care Plan for Education or Care Services   MD  BP  
CVC Care Plan Gold Card Holders  MD  Nov 2022
GP Eating Disorders Plan Review   MD  BP   Oct 2022
Sick Leave Action Plan - Type 2 Diabetes  MD  BP 
NDSS BG Test Strip 6 month Approval  MD  BP 
Hep C Virus GPMP and Team Care  MD  BP 
Referral Forms
Ability Audiology and Balance Referral  MD  BP  Dec 2024
Alcohol and Drug Service (ADS) Intake and Referral   MD   BP    Jun 2023  Sept 2019 version
All About Wounds Referral   MD   BP   Nov 2021
Better Start initiative Referral    MD  BP
Bloom Hearing Referral   MD   BP  Oct 2022
Calvary Cardiac Centre   MD   BP  July 2023
Calvary Mental Health Unit Referral (N)  MD  BP   Jan 2025
Call To Mind TelePsych Referral   MD   BP  Sept 2022
Cannabis Access Clinics Referral  MD  BP  
Carers Australia Tasmania Referral   MD  BP
Child and Adolescent MH Referral  (CAMHS) - Statewide    MD   BP  Nov 2023
Child Health and Parenting Service - Walker House    MD   BP 
Council on the Ageing (COTA) Referral    MD   BP    Oct 2023
CU@Home Referral (CHaPS)   MD  BP   May 2022
DBMAS Referral -  Dementia Support Australia  MD   BP 
Derwent Eye Specialists  MD  BP 
Early Childhood Intervention Service (ECIS) Referral  MD   BP  
Gastroenterology Services Tasmania Referral   MD   BP   March 2023
GCA protocol and referral (Nth Tas)   MD   BP   Nov 2023
Head to Health Launceston Referral   MD   BP   Nov 2023
HelloDoc Telepsychiatry Referral   MD  BP   May 2022
Hobart Cardiology Cardiac Testing Request   MD  BP 
Hobart Cardiology Lung Function Request   MD  BP 
Huon Valley Health Centre - Social Worker Referral   MD 
Dr Mark Wilson Referral    MD  BP 
Mental Health Nurse Program Referral   MD  BP     Consent form  MD  BP   Sep/2020
Nephrologist Referral Form (Generic)    MD  BP 
OT Services Community Team South Referral  MD    BP
Paediatric Sleep Study Referral – Health Dynamics    MD   BP   July 2023
Paul Harvie Orthopaedics  MD   BP   Sept 2022
PlantMed Cannabis Clinic Referral  MD  BP   Jul 2021
Precision Electrodiagnostic Clinic Referral  MD  BP  Jun 2022
Princes Square Cardiology  MD  BP 
Quitline Referral  MD   BP  Oct 2021
RHH Paedeatric Allergy Clinic - Skin Prick Testing Referral  MD   BP
Royal Flying Doctor Service - Youth MH Referral   MD  BP 
Royal Flying Doctor Service Physical Health Referral - North    MD    BP  Dec 2023
Sexual Assault Support Service (SASS)   MD   BP  Nov 2020
Sleep Better Again Referral     MD   BP   Aug 2023
Sleep Better Again Patient Record  MD   BP   Aug 2023
SleepClinic Services Australia    MD   BP 
Sleep Study Referral – Health Dynamics   MD   BP   Jul 2023
Sleep Services Australia    MD   BP
St Giles DAT Team Referral (North)   MD  BP   Jul 2021
Tas Autism Diagnostic Services (TADS) Referral (Paediatric)   MD  BP  Aug 2023
Tas Autism Diagnostic Services (TADS) Provider Questionnaire  BP  Aug 2023
Tasmanian Cardiac Care Echocardiogram Request    MD   BP   Mar 2023
THS Kids Care Clinic Referral (Statewide)  MD  BP  Nov 2023
THS Lactation Consultant Referral (North)  MD  BP   Aug 2022
THS Wetaway Intake Form   MD   BP  Feb 2022
Mr Tobias Evans Direct Access Referral    MD   BP  May 2022
Wellways Referral  MD  BP  May 2023
Women's Health Fund referral and Provider Form   MD   BP  Mar 2023
Requests
Cardiac Rhythm Diagnostics Holter monitor  MD   BP   April 2022
Hobart Pathology PreNatal Testing  MD   BP  Sept 2020    (MD users set 5mm margins all round)
LGH Fibroscan Request  MD  BP   July 2022
LGH EEG Request   MD   BP   Mar 2022
LGH - Supply of Home Oxygen Request  MD  BP  
Lung Function Request THS-South  MD  BP  Nov 2020
MRI Request THS-South   MD  BP   Nov 2021   (MD users set 5mm margins all round)
RHH Imaging Request  MD  BP  March 2021
Specialty Imaging Tasmania Request  MD  BP  Jan 2024
Tasmania Imaging Bone Density Request  MD  BP  Nov 2024
Tasmania Imaging DEXA Body Composition Request  MD  BP  Nov 2024
VCGS Percept pre-natal test  BP  Jun 2021
VCGS Prepair pre-natal test  BP  Jun 2021
Miscellaneous
Advance Care Directive  MD   BP  Jan 2023        Further Information
Adverse Event following Immunisation (National) (NAEFI) form  MD  BP  March 2021
Allergic Rhinitis Treatment Plan  MD  BP  
Blood Pressure 7 Day Diary  (Landscape Format)   MD   BP  Aug 2020
Continence Aids Payment Scheme (CAPS)   MD   BP  Oct 2021
Corporate Services Net Doctors Progress Report    MD   BP     Sep 2020
Cortisone Injection Consent Form  MD   BP  Dec 2022
DASS 21  MD  BP 
Drug and Alcohol Testing form   MD  BP   Nov 2023
DVA D09382 Medical Cerificate Ability to Work  MD   BP   Feb 2021
DVA D9287 Diagnosis  MD  May 2021
DVA RAP Mobility & Functional Products order form  MD     BP  Aug 2024
FOBT Negative Letter    MD   BP
General Practitioner Assessment of Cognition (GPCOG)  MD  BP 
MAIB Form J   MD   BP 
MediHuanna Intake and Consent Form   MD   BP  Aug 2022
NDSS Patient Registration Form   MD  BP  Sept 2023
NPS Opioid Tapering Plan   MD   BP   May 2021
Opioid Treatment Authority Application (PBS)   MD  BP  July 2023
Ozempic Consent Form   MD  BP  Sept 2023
Pain Assessment and Documentation Tool (PADT)  MD  BP
PIP Indigenous Health incentive patient registration and consent  MD    BP   July 2021
PSB - Application to prescribe Schedule 8 medication for Opioid Use Disorder  MD  BP  Oct 2022
PSB - Application for Review  MD  BP  Oct 2022
PSB - Termination of Authority to prescribe  MD  BP  Oct 2022
PSB - Notice of Drug Dependency  MD  BP  Oct 2022
Zostavax Screening for Contraindications  MD  BP 
Import Instructions