GP Hospital Referral Forms
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. The fax numbers for the three intakes are:-
- Southcare: Fax to - 9540 7869
- CRAGS: Fax to - 9553 3481
- St George: Fax to - 9113 3388
When downloading and importing RTF templates for MD, please read instruction notes below.
Sutherland Hospital - Cardiac Rehab, Diabetes Education Centre Heart & Lung Team
| GP Referral Form to Heart Lung Team, Cardiac Rehab, Diabetes Education Centre |
Downloads |
| Word/pdf - manual version |
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| Best Practice and Medical Director Templates |
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Multidisciplinary High Risk Foot Clinic - Central Hospitals Network
The clinic will provide a holistic health care approach for patients with foot ulcerations, at high risk of re-occurring foot ulceration and Charcot’s arthropathy. The clinic will comprise of a Vascular Surgeon, Rehabilitation Specialist, Podiatrists, Wound Care CNC, Diabetes Education and Orthotist. For further information please contact the Podiatry Department on:
- Phone number - 9113 1339
- Fax number - 9113 2690
| GP Referral Form High Risk Foot Clinic |
Downloads |
| GP Referral Form to Central Hospitals Network Multidisciplinary High Risk Foot Clinic |
PDF (73KB) |
Referral to Physiotherapy Department at Sutherland Hospital Community Health Services
- Phone: 9540 8300 (8.00 am -4.30pm)
- Fax: 9540 7717
- Please note this is the recommended and preferred referral form by the Physiotherapy Department at Sutherland Hospital
| GP Referral Form |
Downloads |
| GP Referral Form to Physiotherapy Department at Sutherland Hospital |
PDF (23KB) |
Outpatient GP Referral - South Eastern Sydney Local Hospital Network - Prince William Wing - St George Hospital
| GP Referral Form to Outpatient Department |
Downloads |
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Manual version (2 June 2011) - developed by the Local Hospital Network |
PDF (127KB)* |
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*Please ensure that patient details including, address, DOB and telephone contacts are always listed and are correct as the Department is unable to identify and contact patients for appointments.
Referral to Possum Cottage Family Care Centre
| Referral Form |
Downloads |
| Possum Cottage Family Care Centre Referral |
WORD (810KB) |
Instruction notes when importing electronic templates into Best Practice and Medical Director
| Download and install instructions from this site |
- Right click on link and select Save Target As...
- Select a location on hard drive (which you can find later, such as the desktop) and save
| Medical Director - import instructions |
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Best Practice - import instructions |
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- Open Medical Director and then LetterWriter
- File menu > Select Modify Template > Select Blank template
- File > Select Import - locate downloaded file and click on Open
- File > Select Save as template - type in appropriate name and
click on Save
- For detailed instructions click here (PDF 84KB)
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- Open a New Letter and from Templates menu select Import templates
- Locate downloaded file and open
- From File menu select Save as. Type in an appropriate Template name
and click on Save
- For detailed instructions click here (PDF 65KB)
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