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.
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Some Paper Based
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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
Healthy Lifestyles
HPV - new cervical cancer vaccine
A Paperbased version template is also available
Immunisation Natural Immunity to Chicken Pox Report
Home Medicines Review (please see above for instructions on how to download template)
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) |
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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 |
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| Depression- Anxiety (please see above for instructions on how to download template) |
Depression-Anxiety GP Management Plan |
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| Diabetes (please see above for instructions on how to download template) |
Diabetes GP Management Plan |
Diabetes Team Care Arrangements |
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| Palliative Care (please see above for instructions on how to download template) |
| Palliative Care GP Management Plan |
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| Osteoarthritis (please see above for instructions on how to download template) |
Osteoarthritis GP Management Plan |
Osteoarthritis Team Care Arrangements |
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| Osteoporosis(please see above for instructions on how to download template) |
| Osteoporosis GP Management Plan |
| Osteoporosis Team Care Arrangements |
| Osteoporosis Information Sheet |
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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) |
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Nutrtion (please see above for instructions on how to download template) |
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Physical Activity (please see above for instructions on how to download template) |
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Smoking Cessation (please see above for instructions on how to download template) |
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Weight Management (please see above for instructions on how to download template) |
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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.
Southern Health Outpatient Referral Form for GPs
This template is for use when referring to any Outpatient Clinic across Southern Health.
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.
Centrelink Medical Certificate (for Medical Director)
Paper Based Version of the Templates
Healthy Lifestyle
HPV Invitation letter for Gardasil Vaccine
Information Letter to Patients re Lumiracoxib / Prexige Recall
Care Planning and Health Assessment (please see above for instructions on how to download template)
Mental Health
Southern Health Outpatient Referral Form for GPs
This template is for use when referring to any Outpatient Clinic across Southern Health.
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