Templates for General Practice 

The following templates are for General Practice to download into their CIS.

Please access the relevant instruction sheets for information on how to import these templates to your program of choice:

TemplateDate as ofBest PracticeMedical Director
Bathurst After Hours Medical Service - Patient Form for RACF Visits February 2018
Colonoscopy Referral for Positive Faecal Occult Blood Test February 2018
Diabetes Shared Care Plan Template (Dubbo Diabetes Project)  June 2017
Dubbo After Hours Medical Service - Patient Form for RACF Visits  February 2018
Dubbo Neurophysiology Ambulatory Care - Western NSW LHD July 2018
Geriatric Medicine Clinic Referral Form October 2017
Integrated Care for People with Chronic Conditions – Referral Form  February 2018
Lung Cancer Fast Track Clinical Referral - Western NSW LHD August 2017
Marrabinya Referral Form August 2017
Strong Minds Western - GP Referral and Mental Health Treatment Plan October 2017
Lourdes Hospital Hydrotherapy Referral July 2018
Lourdes Hospital Pre-Admission Referral July 2018
Orana Mall Sleep Test Referral Form July 2018
Request for Endoscopy - Western NSW LHD July 2018