TEMPLATES

This is a zipped file of body parts to be used inside practiX. Right click on this link and choose 'save target as'. Save the file inside the templates directory in the mspdata folder on the server, or the L: drive of your local machine. Please ensure you unzip the files before attempting to use.

45-49 Year Health Check

45-49 Year Interpreting Questionnaire

45-49 Year letter for mailout

45-49 mailout questions

718 Health Check for people with intellectual disability

Access line referral

AHSA Claim Form

Annual cycle of care for patients with diabetes melittus

Alcohol use assessment

Alcohol low use prescription

Allied Health EPC referral form

Allied Health EPC referral form under Medicare

Allied Health group services referral form

Antenatal New Patient Referral - Mater

Asthma cycle of care

Asthma education checklist

Attune Referral Bayside District Health Service Referral form

Bayside District Health Service Request form Cancer referral form

Cold symptom management

Comprehensive medical assessment, item 712

Dementia feedback form

Diabetes education checklist

Falls injury checklist

Fax sheet to TCA members

G.P to pscyhiatrist referral form

G.P management plan for Arthritis, item 721

G.P management plan for Asthma, item 721

G.P management plan for Cardiovascular disease, item 721

G.P management plan for diabetes, item 721

G.P management plan (Generic), item 721

Review of G.P management plan, item 725

G.P management plan and TCA, item 721, 723

G.P referral for cervical screening

Health Assessment for over 75 years old

Healthy kids assessment with logo

Healthy kids recall letter

Heart Care WA referral template

Home Medication Review Referral

HoNOS

Informed Financial Consent K10

Lifestyle modification referral form

MAC notification of motor vehicle injury - Allianz

Mater Hospital Antenatal Clinic referral

Mater Referral for Dietetic Services

More Allied Health Services program referral form

More Allied Health Services Asthma program referral form

Meals on Wheels Referral Aust - VIC WA NT

Meals on Wheels Referral NSW

Meals on Wheels Referral QLD

Meals on Wheels Referral SA

Meals on Wheels Referral TAS

Mental Health Care plan, item 2710

Mental Health review, item 2712

Mini Mental Health Exam (MMSE)

National Bowel Cancer screening program

Nursing Care Plan

Nutrition assessment

Nutrition prescription

Physical activity assessment

Physical activity prescription

Pre-diabetes referral form

QLD Workers Compensation Medical Certificate

Referral Form for Dental Services under Medicare

Residential Management Review Referral

Royal Adelaide Hospital referral form

SA Dental Service - Lift the Lip Skin cancer consult

Smoking assessment

Smoking prescription

South Australian Dental Referral Form

Team Care Arrangement, item 723

Team Care Arrangement letter

Team Care Arrangement Review, item 727

Victorian State Wide Referral

Weight management assessment

Weight management prescription

Workcover WA - First

Workcover WA - Progress

Workcover WA - Final