Electronic Templates


Templates for MBS Item Numbers

For step by step instructions on:
Importing templates into Medical Director click here
Modifying templates in Medical Director click here
Using templates in Medical Director click here
Downloading Patient Education leaflets into Medical Director click here

Best Practice - for Practices using Best Practice, download the MDv2 templates.
For step by step instructions on:
Importing templates into Best Practice click here *NEW*

Quicklink List
Adult HoNOS Score Sheet (Jan 08)
Advance Care Plan MD2, MD3, BP (Apr 08) Please also see Hard copy Templates of Refusal Of Treatment Competent or Incompetent
Alcohol Audit Tool MDv2 or v3 or BP
Asthma Action Plan for Parents (Royal Childrens Hospital) (Nov 07)
Asthma Foundation (Vic) School Asthma Actioin MD2, MD3 or BP (Jan 08)
Child First Referral Template MD2, MD3 or BP
Headds/headspace Barwon Assessment MD or BP
Healthy Kids Assessment MD or BP (Jul 08)
Mental Health (Mar 2007)
45-49 yo Health Check (Nov 2006)
GPMP/TCA Templates (Nov 2007)
Lifescripts - Resources
Lifescripts - Alcohol Resources
Lifescripts - Smoking Resources
Lifescripts - Nutrition & Weight Management Resources
Lifescripts - Physical Activity Resources (Active Script)
Active Script Patient Education Directory- sorted by exercise (Jan 2007)
Active Script Patient Education Directory - sorted by zone (Jan 2007)
Schedule 8 Drugs Permit Application (Victoria)
Suicide Risk Tool (Jan 08)
Refugee Health Assessment (Mar 08)
Barwon Health Templates
HMR / CMA / Workcover


Mental Health Updated October 2008
covering Item No's:
   * 721 -   GP Management Plan
   * 723 -   Team Care Arrangement
   * 725 -   GP Management Plan Review
   * 727 -   Team Care Arrangement Review

GP Mental Health Care Plan & Review item number: 2710 - 12 MDv2 or MDv3 or BP Please click here for the Monash Division of General Practice website

GPMP - Mental Health Template item number: 721 MDv2 or MDv3 or BP or Word    Updated Nov 07

GPMP TCA - Generic Cover Letter  MDv2 or v3 or BP or Word

Headds Assessment MDv2 or v3 or BP


Suicide Risk Tool (Jan 08) MDv2 or v3 or BP


Adult HoNOS Score Sheet (Jan 08) MDv2 or v3 or BP


45-49 yo Health Check Updated Feb 2007
   * Item number 717

Health Check Template MD v2 or v3 or BP or Word    

Health Check Cover Letter  MD v2 or v3 or BP or Word   


GP Management Plans / Team Care Arrangement (GPMP/TCA)
(Oct 2007)

GPMP TCA - Asthma    MDv2 or MDv3 or BP or Word   

GPMP TCA - Benign Prostate Enlargement  MDv2 or MDv3 or BP or Word    Updated Nov 07

GPMP TCA - Chronic Kidney Disease    MDv2 or MDv3 or BP or Word   Updated Nov 07

GPMP TCA - COAD     MDv2 or MDv3  

GPMP TCA - Diabetes      MDv2 or MDv3 or BP or Word   Updated Nov 07 

GPMP TCA - Diabetes & Heart Disease  MDv2 or MDv3 or BP or Word   Updated Nov 07

GPMP TCA - Heart Disease      MDv2 or MDv3 or BP or Word     Updated Nov 07

GPMP TCA - High Blood Pressure      MDv2  or MDv3 or BP or Word   Updated Nov 07

GPMP TCA - Inflammatory Bowel Disease BP or MDv3   or MDv2 Updated Nov 07

GPMP TCA - Musculoskeletal   MDv2  MDv3 or BP or Word    

GPMP TCA - Neurological BP or MDv3 or MDv2 Updated Nov 07

GPMP TCA - Osteoporsis BP or MDv3 or MDv2 Updated Nov 07

GPMP TCA - Palliative Care BP or MDv3 or MDv2

GPMP TCA - Cover Letter MD or BP or Word     Updated Oct 07

GPMP TCA FLOW CHART NEW

DIABETES GPMP CUE SHEET NEW

EPC Program Referral form for Allied Health Services under Medicare (Fill and Print PDF)


LIFESCRIPT RESOURCES:



Alcohol

Alcohol Use Disorders Test      PDF
Alcohol Audit Tool MDv2 or v3 or BP
Decision Balance Chart    PDF
Alcohol Assessment    MDv2 or v3
Alcohol Guidelines   MDv2 or v3
Alcohol Prescription   MDv2 or v3
New Guidelines for Alcohol Consumption Click here

Smoking

QUIT Referral     MDv2 or v3 PDF
Smoking Assessment   MDv2 or v3
Smoking Guidelines   MDv2 or v3
Smoking Prescription   MDv2 or v3
Smoking in Pregnancy Quick Reference Card   PDF
Smoking in Pregnancy Assessment Tool    PDF
Smoking in Pregnancy Prescription   PDF
Smoking cessation program - Corio Community Health Centre PDF
Smoking cessation program - Belmont community Health Centre PDF
Barwon Health Early Intervention COPD Program PDF
Directory of smoking cessation programs and resources PDF

Nutrition and Weight Management

Nutrition Assessment   MDv2 or v3
Nutrition Guidelines    MDv2 or v3
Nutrition Prescription   MDv2 or v3
Weight Managment Assessment    MDv2 or v3
Weight Management Guidelines   MDv2 or v3
Weight Management Prescription   MDv2 or v3

Physical Activity

Physical Activity Assessment   MDv2 or v3
Physical Activity Guidelines   MDv2 or v3
Physical Activity Prescription   MDv2 or v3

Referral & Consent Templates (Dec 06)

Referral & Consent - All Geelong Regions   MDv2 or v3 or Best Practice
Referral & Consent - Bannockburn   MDv2 or v3 or Best Practice
Referral & Consent - Bellarine    MDv2 or v3 or Best Practice  
Referral & Consent - Lara & North Geelong    MDv2 or v3 or Best Practice
Referral & Consent - Surfcoast     MDv2 or v3 or Best Practice


Active Script - Patient Education Leaflets

Active Script Personal Trainers List   PDF
Active Script Exercise Plan     PDF
Contraindications to Exercise Participation     PDF
National Guidelines to Physical Activity  PDF

Patient Education
Exercise Leaflets - sorted by Exercise:

Belly Dancing Leaflet    PDF
Cycling Leaflet    PDF
Exercise, social, recreation clubs    PDF
Gentle Exercise - aerobics   PDF
Karate   PDF
Line Dancing    PDF
Meditation    PDF
No Falls    PDF
Pilates    PDF
Rehabilitation - Land based   PDF
Rehabilitation - Water based   PDF
Resistance Training   PDF
Tai Chi   PDF
Walking Groups   PDF
Water Exercise - aerobics   PDF
Yoga   PDF

Patient Education
Exercise Leaflets - sorted by Zone

All Geelong Regions   PDF
Zone 1 - Northern Suburbs & Lara   PDF
Zone 2 - Geelong City, Newtown, South Geelong   PDF
Zone 3 - East Geelong, Newcomb, Moolap, Whittington, Leopold   PDF
Zone 4 - Highton, Belmont, Grovedale, Waurn Ponds   PDF
Zone 5 - Bellarine Peninsula    PDF
Zone 6 - Surfcoast    PDF
Zone 7 - Deans March, Winchelsea   PDF


Barwon Health Templates: Click here

 

Miscellaneous Templates:

HMR Plan
HMR Referral
CMA (Aged care residents)
Victorian Workcover Certificate
Refugee Health Assessment