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Sutherland Hospital Access and Referral Intake Form

Common Referral Form for Sutherland, Calvary and St George Community Services
Access and Referral Intake Form

As part of the Older Persons and Chronic Care Project (OPaCC) in South Eastern Sydney and Illawarra Health, a universal referral form for community services offered by Calvary CRAGS, Southcare and St George Access and Referral Centre, has been developed by the Area Health Service. From Monday 19th May, this form (click the links below to download) will replace the three previously used referral forms. The fax numbers for the three intakes are:-

  • Southcare:   Fax to - 9540 7869
  • CRAGS:        Fax to - 9553 3481
  • St George:    Fax to - 9113 3388

Access and Referral Intake Form (Word and pdf versions)            

WORD (77KB)   and   PDF (34KB)   

Access and Referral Intake Form (Medical Director Template)

MD TEMPLATE  RTF (22KB)   

When downloading and importing RTF templates, please read instruction notes below.  

Downloading and Importing MD RTF templates from the website

What to do with the "RTF"link: DO NOT DOUBLE CLICK ON THE *RTF* LINK TO OPEN IT. THIS WOULD OPEN THE TEMPLATE IN WORD. The end result of this is that you would lose the Medical Director fields that "populate" the template.

  1. Right click on link and select Save Target As...

  2. Select a location on hard drive (which you can find later) and save.

  3. Open Medical Director and then LetterWriter.

  4. File menu > Select Modify Template > Select Blank template.

  5. File > Select Import- locate downloaded file and click on Open.

  6. File > Select Save as template - type in appropriate name and click on Save.

  7. Once saved you can access the template with a patient record open in Medical Director. Open LetterWriter - File/New and then select the appropriate template.

MD Instruction Notes for download

Instruction Notes for RTF MD Templates     PDF (84KB)