Templates

We have a huge range of templates across a number of categories that you can use in your General Practice or Allied Health Practice.

Instructions

To find a specific template, press Ctrl+F and then type the keyword or topic you are looking for. If you don't find the topic the first time, try variations, different terms or fewer words. The templates provided by us are for your personal use only and must not be redistributed without permission. They have been tested with Version 1.8.4.642 of Best Practice and Version MD3.16 of Medical Director.

Many templates are available under the 'Supplied' section of most clinical software or searchable online from their respective organisations. If you have templates that you would like to share with your peers and/or have any enquiries please email the Practice Support and Digital Health team or phone them on 1300 986 991.

How to import templates

These templates have been specifically made to be important to your software or for use by printing out and handwriting in the form itself. The following documents can be downloaded to provide instructions on how to import these templates to your chosen program.

Download templates

BP or MD templates should not be opened and viewed before downloading them into your practice software. An OPEN template, which is the MS-Word or PDF version of a template allows you to open and view the template before downloading it into your practice software. You can also use the Open version to complete assessments without going through the practice software.

The templates provided by CESPHN are for your personal use only and must not be redistributed without permission. They have been tested with the versions of Best Practice (1.8.4.642) and Medical Director (MD3.16).

 

All templatesDate as atPDFWordBest PracticeMedical Director
List of all available templates by file type   PDF document download Microsoft Word document download Best Practice template download MedicalDirector template download
Covid@HomeDate as atPDFWordBest PracticeMedical Director
Covid@Home GP Referral form  26 April 2022 PDF document download Microsoft Word document download Best Practice template download MedicalDirector template download
Instructions how to import, update address book and send electronically       PDF document download PDF document download
Chronic Disease Management and PreventionDate as atPDFWordBest PracticeMedical Director
Accredited Exercise & Sports Science Practitioner - GP Referral Form   PDF document download - - -
Accredited Practising Dietitian - GP Referral Form    - Microsoft Word document download Best Practice template download MedicalDirector template download
Asthma - Action Plan template   PDF document download - Best Practice template download MedicalDirector template download
Cancer - Breastscreen NSW Patient Referral Sheet   PDF document download Microsoft Word document download Best Practice template download MedicalDirector template download
Cancer - Bowel Cancer Letter Template   PDF document download - Best Practice template download MedicalDirector template download
COPD - Action Plan template (Lung Foundation)   PDF document download - Best Practice template download MedicalDirector template download
Diabetes - AUSDRISK Tool   PDF document download - Best Practice template download MedicalDirector template download
Diabetes - Basic Foot Assessment Checklist   PDF document download - Best Practice template download MedicalDirector template download
Diabetes - NDSS Registration Form   PDF document download - Best Practice template download MedicalDirector template download
40-49 year old Type 2 Diabetes Risk Evaluation     - Best Practice template download MedicalDirector template download
Optimised 75+ Health Assessment   PDF document download Microsoft Word document download Best Practice template download MedicalDirector template download
Health Assessment - Refugee Health Assessment   PDF document download - Best Practice template download MedicalDirector template download
Health Assessment - People with an Intellectual disability   PDF document download - Best Practice template download MedicalDirector template download
Quitline - Referral Form   PDF document download - Best Practice template download MedicalDirector template download
YMCA Brightside Referral - Morris Iemma ISC   PDF document download - Best Practice template download MedicalDirector template download
Telehealth Staying Healthy, Living well - GP Referral Template  - PDF document download  Best Practice template download MedicalDirector template download

Think, Eat and Move (TEAM) Referral Form -13 to 17 year old

  PDF document download
  Best Practice template download
MedicalDirector template download
SLHD Podiatry Intake Form     Microsoft Word document download
Best Practice template download
MedicalDirector template download
Closing the Gap and Indigenous HealthDate as atPDFWordBest PracticeMedical Director 
Aboriginal Outreach Worker Referral Form   PDF document download -  -  -
Allied Health Services Referral   - Microsoft Word document download Best Practice template download MedicalDirector template download
CESPHN - Referral for Care Coordination   PDF document download -  -  -
Closing the Gap Standard Specialist Referral   - Microsoft Word document download Best Practice template download MedicalDirector template download
Closing the Gap Specialist Referral and Progress Notes   - Microsoft Word document download Best Practice template download MedicalDirector template download
Health Assessment Adult 15-54 (MBS ITEM 715)   - Microsoft Word document download Supplied in BP Supplied in MD
Indigenous Health Incentive and PBS Co-payment Patient Registration/Consent   - Microsoft Word document download Best Practice template download MedicalDirector template download
Indigenous Health Incentive and PBS Co-payment Patient Withdrawal   PDF document download - - -
GeneralDate as atPDFWordBest PracticeMedical Director
Schedule 1 - Medical Certificate   - Microsoft Word document download Best Practice template download MedicalDirector template download
National Centre Veterans Health Care Referral form 15 August 2019 - - Best Practice template download
MedicalDirector template download
GP Management Plan and TCADate as atPDFWordBest PracticeMedical Director 
Generic template - GPMP review   - Microsoft Word document download Best Practice template download MedicalDirector template download
Hospital - Calvary HospitalDate as atPDFWordBest PracticeMedical Director 
Community Palliative Care Team (CPCT) - Admission Form   - Microsoft Word document download document
(105 KB)
Best Practice template download document
(140 KB)
MedicalDirector template download
Community Palliative Care Team (CPCT) - Referral Form   - Microsoft Word document download Best Practice template download document
(156 KB)
MedicalDirector template download
Hospital - Canterbury HospitalDate as atPDFWordBest PracticeMedical Director 
Endocrine/Maternity Clinic Referral form   PDF document download - Best Practice template download MedicalDirector template download
Obstetric Referral Form 2 August 2018  PDF document download - document (140 KB) -
Refugee Health Nurse Program   - Microsoft Word document download Best Practice template download MedicalDirector template download
Hospital - Prince of Wales Hospital (POWH)Date as atPDFWordBest PracticeMedical Director 
Diabetes Centre Referral   - Microsoft Word document download Best Practice template download MedicalDirector template download
Outpatient Department GP eReferral    - Best Practice template download MedicalDirector template download
High Level and Complex Diabetic Foot Care Referral   PDF document download Microsoft Word document download Best Practice template download MedicalDirector template download
Prince of Wales Hospital – Eye Clinic, Assessment for Cataract surgery   PDF document download   Best Practice template download MedicalDirector template download
Hospital - The Royal Hospital for Women (RHW)Date as atPDFWordBest PracticeMedical Director 
Gynaecology Outpatients Referral   - Microsoft Word document download Best Practice template download MedicalDirector template download
Perinatal Mental Health Referral form   PDF document download - Best Practice template download MedicalDirector template download
Hospital - Royal Prince Alfred Hospital (RPA)Date as atPDFWordBest PracticeMedical Director 
RPA- Pathology Form for Combined First Trimester Screening blood collection   PDF document download   bicon MedicalDirector template download
RPA - Fibroscan Only (pre HVC treatment) referral form   PDF document download - Best Practice template download MedicalDirector template download
RPA - Remote Consultation Request for Initiation of Hepatitis C Treatment  25 July 2016 PDF document download - Best Practice template download MedicalDirector template download
RPA Physiotherapy - Obstetric and Gynaecological Physiotherapy Referral 25 July 2017  PDF document download Microsoft Word document download Best Practice template download MedicalDirector template download
RPA Women and Babies - Antenatal Thyroid Referral Form 4 June 2021 PDF document download - - -
RPA Women and Babies - EPAS Referral Form  20 March 2015 PDF document download - Best Practice template download MedicalDirector template download
RPA Women and Babies - HBV Referral Form   PDF document download - Best Practice template download MedicalDirector template download
RPA Women and Babies - HCV Referral Form   PDF document download - Best Practice template download MedicalDirector template download
RPA Women and Babies - Psychosocial Referral Form   PDF document download - Best Practice template download MedicalDirector template download
RPA Sexual Health GP Referral Form       Best Practice template download
MedicalDirector template download
RPA Women and Babies Ultrasound and Fetal Medicine Referral Form August 2020  PDF document download      
RPA Liver Tool Kit Referral Form September 2021     Best Practice template download MedicalDirector template download
Hospital - St George HospitalDate as atPDFWordBest PracticeMedical Director

St George Outpatient Department Referral

  PDF document download Microsoft Word document download Best Practice template download MedicalDirector template download
Clinical Genetic Service Referral   PDF document download Microsoft Word document download Best Practice template download MedicalDirector template download
Diabetes Education Centres Referral Form (St George and Sutherland)   PDF document download - Best Practice template download MedicalDirector template download
Fibroscan Only (pre HVC treatment) referral   PDF document download - Best Practice template download MedicalDirector template download
Pulmonary Rehabilitation Program Entry Form   PDF document download - Best Practice template download MedicalDirector template download
Remote Consultation Request for Initiation of Hepatitis C Treatment form   PDF document download - Best Practice template download MedicalDirector template download
St George Swallow Centre - Request Oesophageal Function Studies   - Microsoft Word document download Best Practice template download MedicalDirector template download
St George Hospital Gynaecology Clinics referral form   PDF document download   Best Practice template download MedicalDirector template download
St George Hospital Liver Tool Kit Referral Form September 2021     Best Practice template download MedicalDirector template download
St George and Sutherland hospitals: High risk foot services   PDF document download      
Hospital - St Vincent's HospitalDate as atPDFWordBest PracticeMedical Director 
Chronic Pain Services Referral   - Microsoft Word document download Best Practice template download MedicalDirector template download
Colonoscopy Referral Form (FOBT)   PDF document download
  Best Practice template download
MedicalDirector template download
Hospital - The Sutherland HospitalDate as atPDFWordBest PracticeMedical Director 
Outpatient GP Referral   PDF document download - Best Practice template download MedicalDirector template download
Eye Clinic - GP Diabetic Retinopathy Screening Referral Form 5 July 2017  - Microsoft Word document download Best Practice template download MedicalDirector template download
St George/Sutherland - Antenatal Referral & Booking Form   PDF document download - Best Practice template download MedicalDirector template download document
(92 KB)
Sutherland Hospital Gynaecology Clinics referral form   PDF document download   Best Practice template download MedicalDirector template download
Sutherland and St George hospitals: High risk foot services   PDF document download      
Hospital - Sydney Eye HospitalDate as atPDFWordBest PracticeMedical Director 
Sydney Eye Hospital – Outpatients, Assessment for Cataract Surgery   PDF document download   Best Practice template download MedicalDirector template download
Local Health District - South Eastern Sydney Local Health District (SESLHD)Date as atPDFWordBest PracticeMedical Director 
NSW Health - Out of Home Care Health Management Plan (NH606661)   PDF document download - Best Practice template download MedicalDirector template download document
(92 KB)
NSW Health - Out of Home Care Primary Health Screen (2A) Under 1 yr (NH606662)   PDF document download - Best Practice template download MedicalDirector template download document
(92 KB)
NSW Health - Out of Home Care Primary Health Screen (2A) 1-5 years (NH606663)   PDF document download - Best Practice template download  MedicalDirector template download document
(92 KB)
NSW Health - Out of Home Care Primary Health Screen (2A) 6-11 years (NH606664)   PDF document download - Best Practice template download MedicalDirector template download document
(92 KB)
NSW Health - Out of Home Care Primary Health Screen (2A) 12-18 years (NH606665)   PDF document download - Best Practice template download MedicalDirector template download document
(92 KB)
SESHLD - Connecting Care Referral Form Access and Referral Intake Form   PDF document download - Best Practice template download MedicalDirector template download
St George/Sutherland - Antenatal Referral & Booking Form   PDF document download - Best Practice template download MedicalDirector template download document
(92 KB)
Local Health District - Sydney Local Health District (SLHD)Date as atPDFWordBest PracticeMedical Director 
Concord Hospital: Midwifery Group Practice GP Referral Form    PDF document download      
SLHD - Aged Chronic Care and Rehabilitation Referral Form   PDF document download - - -
SLHD - CHAIN Referral and Clinical Handover Form   PDF document download - - -
SLHD - GP Incident Notification   PDF document download -    
SLHD - Pain Clinic Referral Form   - Microsoft Word document download Best Practice template download MedicalDirector template download
SLHD - Palliative Care Home Support Packages (PEACH Program) Referral   PDF document download - - -
SLHD - Podiatry Service Intake Form   PDF document download Microsoft Word document download Best Practice template download MedicalDirector template download
Mental HealthDate as atPDFWordBest PracticeMedical Director Online
Mental health shared care checklist   document pdf text Microsoft Word document download Best Practice template download Medical Director template download  
PSS – GP Initial Referral for adults and children Mental Health Treatment Plan       Best Practice template download Medical Director template download 2019015 icons 22 
PSS – GP Review Referral for adults and children and Mental Health Treatment Plan       Best Practice template download Medical Director template download  2019015 icons 22
Resources - Depression, Anxiety, and Stress Scales (DASS 21)   PDF document download Microsoft Word document download Best Practice template download Medical Director template download  
Resources - Health of the Nation Outcome Scale (HoNOS) Refer online Best Practice template download Medical Director template download   
Resources - Kessler Psychological Distress Scale (K10+)   - - Best Practice template download Medical Director template download   
Services Referral - Black Dog Insitute Referral Forms for Clinics Download forms from hospital's website
Services Referral - headspace Ashfield   - Microsoft Word document download - -  
Services Referral - headspace Bankstown    PDF document download  -  -  -  
Services Referral - headspace Bondi Junction    PDF document download  -  -  -  
Services Referral - headspace Camperdown    PDF document download  -  -  -  
Services Referral - headspace Hurstville    - Microsoft Word document download Best Practice template download Medical Director template download  
Services Referral - headspace Miranda    PDF document download  -  -  -  
Pain ManagementDate as atPDFWordBest PracticeMedical Director 
Inner West Pain Centre - Referral Form Refer online Best Practice template download MedicalDirector template download
SLHD Pain Clinic - Referral Form   - Microsoft Word document download Best Practice template download MedicalDirector template download
Sexual Health and Viral HepatitisDate as atPDFWordBest PracticeMedical Director 
HIV GPMP and TCA   PDF document download - Best Practice template download MedicalDirector template download
Patient Consent Form - s100 Highly Specialised Drug Prescriptions   PDF document download - Best Practice template download MedicalDirector template download
RPA - Fibroscan Only (pre HVC treatment) referral form   PDF document download - Best Practice template download MedicalDirector template download
RPA - Remote Consultation Request for Initiation of Hepatitis C Treatment   PDF document download - Best Practice template download MedicalDirector template download
St George Hospital - Fibroscan Only (pre HVC treatment) referral   PDF document download - Best Practice template download MedicalDirector template download
St George Hospital - Remote Consultation Request for Initiation of Hepatitis C Treatment form   PDF document download - Best Practice template download MedicalDirector template download
Liver Tool Kit Project Letter       Best Practice template download MedicalDirector template download
NDISDate as atPDFWordBest PracticeMedical Director
Supporting NDIS Access 7 - 65 years   - - Best Practice template download MedicalDirector template download
War Memorial HospitalDate as atPDFWordBest PracticeMedical Director
War Memorial Hospital Podiatry Outpatient Referral   - - Best Practice template download MedicalDirector template download

Best Practice, Medical Director and Genie users can utilise Healthlink Smartforms to complete and submit referrals and other forms electronically.

For list of these forms visit the Electronic Referrals section under Digital Health.