Monash Division of General Practice
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This page provides a directory of templates that can also be found on the Resources Page or some Division Services pages.

 

MS Word versions of the generic and disease specific templates are available below for those who wish to view the templates before installing them or converting them to other software.

 

DO NOT OPEN THE ELECTRONIC TEMPLATES, AS OPENING THE TEMPLATE FILES MAY DESTROY THE TEMPLATE FIELDS WITHIN THEM, PLEASE DOWNLOAD AND FOLLOW THE INSTRUCTIONS BELOW.


Templates should be saved to your computer and then imported into Medical Director as per the instructions below.

Paper Based Versions of Templates

 

To quickly find an electronic template relating to a specific disease state please select a category below.

 

 

Some Paper Based
Versions may be in PDF format.
Get Adobe Acrobat

Electronic Templates

 

Instructions for importing document templates

 

Letter for patients regarding Medication Review of Patients on Avanda & Avandamet
(please see above for instructions on how to download template)

45 - 49 Health Check

45 - 49 Health Check Template for Medical Director (please see above for instructions on how to download template)

Healthy Lifestyles

Go for your life GP referral (please see above for instructions on how to download template)

 

HPV - new cervical cancer vaccine

Invitation letter template for girls 18-26 (please see above for instructions on how to download template)

 

A Paperbased version template is also available

Immunisation Natural Immunity to Chicken Pox Report

Report a Childs Natural Immunity to Chicken Pox to ACIR (please see above for instructions on how to download template)

Home Medicines Review (please see above for instructions on how to download template)

HMR Referral Template for Medical Spectrum (Classic) (68KB dot)

HMR Plan Template for Medical Spectrum (Classic) (36KB dot)

HMR Referral Template for Medical Spectrum (Plexus) (68 doc)

HMR Plan Template for Medical Spectrum (Plexus) (35 doc)

Using HMR Templates (552KB pdf)

 

 

 

GP Management Plans and Team Care Arrangements (please see above for instructions on how to download template)
(please note that these templates can be used in MD2 and MD3)

GP Management Plan (Item 721)

Team Care Arrangement (Item 723)

GP Management Plan with prompts

Team Care Arrangements with prompts

Team Care Arrangements cover letter
Asthma (please see above for instructions on how to download template)

Asthma GP Management Plan

Coronary Heart Disease (please see above for instructions on how to download template)

Coronary Heart Disease GP Management Plan

Coronary Heart Disease Team Care Arrangements

Childhood Disability (please see above for instructions on how to download template)
Childhood Disability GP Management Plan
 
Depression- Anxiety (please see above for instructions on how to download template)

Depression-Anxiety GP Management Plan

Diabetes (please see above for instructions on how to download template)

Diabetes GP Management Plan

Diabetes Team Care Arrangements

 
Palliative Care (please see above for instructions on how to download template)
Palliative Care GP Management Plan
 
Osteoarthritis (please see above for instructions on how to download template)

Osteoarthritis GP Management Plan

Osteoarthritis Team Care Arrangements

 
Osteoporosis(please see above for instructions on how to download template)
Osteoporosis GP Management Plan
Osteoporosis Team Care Arrangements
Osteoporosis Information Sheet
 

Please note:
The above templates for the new MBS items , GP Management Plan and Team Care Arrangements, have been developed from the draft forms on the DoHA website. It is not mandatory to use these forms, they are samples for assisting GPs and others in completing the services and can be customised to meet the need of patients and practitioners in your practice. Templates for the Allied Health and Dental Care EPC referrals are available under the "Supplied" templates in Medical Director.

Lifescripts for Medical Director

 

Alcohol (please see above for instructions on how to download template)
 
Nutrtion (please see above for instructions on how to download template)
 
Physical Activity (please see above for instructions on how to download template)
Smoking Cessation (please see above for instructions on how to download template)
Weight Management (please see above for instructions on how to download template)

Mental Health

Instructions for importing MD Templates

Template for GP Mental Health Care Plan 2710- 12
(please see above for instructions on how to download template)
GP to psychiatrist referral template (291) (21kb rtf) (please see above for instructions on how to download template)
Better Access Referral Cover Sheet (please see above for instructions on how to download template)

 

Royal Children's Hospital
The Royal Children's Hosptial outpatient department have provided us with their referral template for Medical Director which was created by the North East Valley Divison of General Practice.

Royal Children's Hospital Outpatient Referral Form Version August 2006 please refer to the instructions for importing templates before proceeding

Southern Health Outpatient Referral Form for GPs
This template is for use when referring to any Outpatient Clinic across Southern Health.

Southern Health l Outpatient Referral Form Version October 2007 - please refer to the instructions for importing templates before proceeding

Victorian Statewide Referrral
This template is the latest and shorter version of the templae used to refer patients to Community Health Centres, Local Government and other community based agencies.

Victorian Statewide Referral Form (SCoTT) Version 4 January 2006 please refer to the instructions for importing templates before proceeding

 

Centrelink Medical Certificate (for Medical Director)

Centrelink Medical Certificate  - please refer to the instructions for importing templates before proceeding

 

Paper Based Version of the Templates

Healthy Lifestyle

 

HPV Invitation letter for Gardasil Vaccine

Invitation letter template for girls 18-26 (please see above for instructions on how to download template)

 

Information Letter to Patients re Lumiracoxib / Prexige Recall

 

Letter to patients regarding the lumiracoxib/ prexige recall August 2007 (please see above for instructions on how to download template)

 

 

 

Care Planning and Health Assessment (please see above for instructions on how to download template)

 

GP Management Plan (MBS Item 721)

Team Care Arrangements (MBS Item 723)

GP Management Plan with prompts

Coronary Heart Disease GP Management Plan

Childhood Disability GP Management Plan

Depression-Anxiety GP Management Plan

Diabetes GP Management Plan

Diabetes Team Care Arrangements

Osteoarthritis GP Management Plan

Team Care Arrangements cover letter

Mental Health Care Plan
Palliative Care GP Management Plan

Mental Health

GP to psychiatrist referral template (291) (please see above for instructions on how to download template)

Southern Health Outpatient Referral Form for GPs
This template is for use when referring to any Outpatient Clinic across Southern Health.

Southern Health Paper Based Outpatient Referral Form Version October 2007 (please see above for instructions on how to download template)

 

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