Welcome to Midwest GP Network |
Midwest GP Network | 32 Holland Street GERALDTON WA 6530 | PO Box 2638 GERALDTON WA 6531 Tel (08) 9920 7100 | Fax (08) 9964 3487 | mail@gpnetwork.org.au
The available templates are under the following sections:
To become a member of the Midwest GP Network, Complete this form and fax it to the Midwest GP Network.
Application to request regional locum, to complete and return to Midwest GP Network.
This form is available either in PDF form or as a MD/BP template.
Do not open the template before importing into your medical software.
This is a MD/BP template. Do not open it before importing into your medical software.
This form is available in PDF format to fax or as a template for MD/BP.
Do not open the template before importing in your medical software.
Aged Care Assessment : This form is available in fax format (.doc) or in Md/BP template (.rtf).
Do not open the template before importing into MD/BP.
This form is available either as a fax format (doc) and as a MD/BP template.
Do not open the template before importing into MD/BP
GP referral to a Lifestyle Modification Program under the prevention of type 2 diabetes program. This form is available in fax format (pdf document) or in MD3 Template
Do not open the MD3 template before importing.
Referral form for Allied Health Group Services under Medicare for patients with type 2 diabetes.
MD3 template - Do not open before importing.
MBS item 717.
template to import into MD/BP. (Do not open this file before importing.)
MBS Item 725
Template to import into MD/BP. (Do not open it before importing.)
MBS items 721 and 723
When downloading the template (.rtf), do not open the file before importing into your Medical software (MD/BP).
TCA only - MBS Item 723
This is a MD/BP template. Do not open it before importing.
Treatment contract for the use of opioid medicine (morphine-like painkiller) for the management of chronic pain.
MD/BP template - do not open before importing.
Referral to send to Pharmacists. Templates to import in your medical software (rtf is for MD/BP, mtd is for MedTech).
This plan exist as a PDF form or as a template to import in your medical software (rtf for MD/BP, mtd for MedTech 32).
Please do not open it before importing into MD/BP.
The Mental Health Referral form is available either in fax format (.doc) or in MD/BP template (.rtf).
When downloading the template (.rtf), do not open the file before importing into your Medical software.
Mental Health assessment form.
Mental Health assessment form