Aged Care Templates
Comprehensive Medical Assessment
Comprehensive Medical Assessment - A CMA form is available in Medical Director however in many of the local RACFs they use a Common Admission form the GP only needs to complete page 4 to claim the CMA item (see manual pdf version below).
Common Admission to RACF Form (Manual pdf version)
PDF (51KB )
Proforma - Comprehensive Medical Asssessment (CMA) for residents of aged care facilities
(PDF 267 KB)
Proforma - Best Practice and MD Templates CMA for residents of aged care facilities
(RTF 4094 KB)
Residential Medication Management Reviews (ITEM 903)
RMMR GP Referral Form
PDF (36.4KB)
MD TEMPLATE RTF (28KB )
RMMR Management Template
PDF (30.4KB)
MD TEMPLATE RTF (19KB)
Contribution to Care Plan (ITEM 731)
It is NOT appropriate for allied health professionals to provide part-completed referral forms to GPs for signature, or pre-empt the GP's decision about the services required by the patient.
It is expected that the GP’s contribution to the resident's multidisciplinary care plan would be through direct collaboration with the aged care facility at the request of the facility. The contribution must be based on the GP’s knowledge of the resident and the health and care needs and may include a personal attendance by the GP with the patient.
It is up to the GP to determine that the resident has a clinical need to for allied health services and to determine the type and number of services required by the resident.
It would NOT be appropriate for a third party (i.e. allied health professionals) to either request the GP’s contribution on behalf of the aged care facility or to direct the GP on what the contribution should be. Consequently, it is not appropriate for allied health providers to provide part-completed referral forms to GPs for signature, particularly in a way that pre-empts the GP’s decision about the services required by the patient.
RMMR Management Template
| Care Plan Management Template | PDF (30KB) | MD TEMPLATE RTF (19KB) |
Referral to Allied and Dental Services |
||
|
Allied Health Form under Medicare (to be completed by the GP) |
MD TEMPLATE RTF (310KB) |
|
Overview of Case Conference |
||
|
Case Conference Management Template |
PDF (32KB) | MD TEMPLATE RTF (27KB) |
| TRANSFER OF MEDICAL CARE AND SOUTHCARE HOSPITAL FORMS |
| Transfer of Medical Care Form Template | PDF (38KB) | MD TEMPLATE RTF (37KB) |
Hospital Interface
RACF Transfer to Hospital Form (Nursing) - this form was developed and piloted by local RACFs, Sutherland Hospital and the Division. Through collaboration with the SESIAHS the form has been further enhanced for use by RACFs and all hospitals in the SESIAHS. It is suggested that RACFs use this form when transferring a patient to hospital. This form is used by all the hospitals in the SESIAHS when discharging a patient to an RACF.
RACF Transfer to Hospital Form - Nursing
PDF (332KB)
RACF & SESIAHS Aged Care Discharge Summary Form
| Common Referral Form for Sutherland, Calvary and St George Community Services Access and Referral Intake Form |
CLICK HERE |
|
| INSTRUCTION NOTES - DOWNLOADING & INSTALLATION OF TEMPLATES INTO TO YOUR CLINICAL SOFTWARE PROGRAMS |
| Download and install instructions from this website to your practice clinical software program: |
1. Right click on link and select Save Target As...
2. Select a location on hard drive (which you can find later, such as the desktop) and save
| Medical Director - import instructions | Best Practice - import instructions | |
|
|
|