Templates

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 the versions of Best Practice (1.8.4.642) and Medical Director (MD3.16).

Many templates are available under the 'Supplied' section of most clinical software or searchable online from the respective organisations. If you have templates that you would like to share with your peers and or have any queries please contact the Practice Support and Digital Health team on 9330 9900 (Kogarah) or 9799 0933 (Ashfield) or by email digitalhealth@cesphn.com.au

How to import templates

These templates have been specifically made to be imported 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 program of choice.

document-pdf-text Importing Templates into Best Practice from CESPHN Website

document-pdf-text Importing Templates into Medical Director from CESPHN Website

What is an Open template?

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.

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
Chronic Disease Management and PreventionDate as atPDFWordBest PracticeMedical Director
Accredited Practising Dietitian - GP Referral Form    - Microsoft Word document download Best Practice template download MedicalDirector template download
Cancer - Breastscreen NSW Patient Referral Sheet   - - 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
Health Assessment - 45-49 years check (Female)   PDF document download Microsoft Word document download Best Practice template download Supplied in MD
Health Assessment - 45-49 years check (Male)   Best Practice template download Supplied in MD
Health Assessment - 75+ Health check   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
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
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
Comcare - Certificate of Capacity   PDF document download - Best Practice template download MedicalDirector template download
Comprehensive Medical Assessment (CMA) ACF &
SLHD - 'My Wishes' Advance Care Plan
    Microsoft Word document download Best Practice template download MedicalDirector template download
Schedule 1 - Medical Certificate   - Microsoft Word document download Best Practice template download MedicalDirector template download
My Aged Care - Hospital Fax Referral Form 3 July 2017  PDF document download Microsoft Word document download Best Practice template download MedicalDirector template download
GP Management Plan and TCADate as atPDFWordBest PracticeMedical Director 
GPMP 721 – Asthma   - Microsoft Word document download Best Practice template download MedicalDirector template download
GPMP 721 - Coronary heart disease (CHD)   - Microsoft Word document download Best Practice template download MedicalDirector template download
GPMP 721 – Depression and Anxiety   - Microsoft Word document download Best Practice template download MedicalDirector template download
GPMP 721 – Diabetes   - Microsoft Word document download Best Practice template download MedicalDirector template download
GPMP 721 – Osteoarthritis   - Microsoft Word document download Best Practice template download MedicalDirector template download
GPMP 721 – Osteoporosis   - Microsoft Word document download Best Practice template download MedicalDirector template download
GPMP 721 - Palliative Care   - Microsoft Word document download Best Practice template download MedicalDirector template download
GPMP & TCA - HIV   PDF document download - Best Practice template download MedicalDirector template download
TCA 723 - AHP and Specialist Request Form   - Microsoft Word document download Best Practice template download MedicalDirector template download
TCA 723 - Cover Letter   - Microsoft Word document download Best Practice template download MedicalDirector template download
TCA 723 - Deny Letter (EPC Reverse Referral Requests)   - Microsoft Word document download Best Practice template download MedicalDirector template download
TCA 723 - Asthma   - Microsoft Word document download Best Practice template download MedicalDirector template download
TCA 723 - Coronary heart disease (CHD)   - Microsoft Word document download Best Practice template download MedicalDirector template download
TCA 723 - Depression and Anxiety   - Microsoft Word document download Best Practice template download MedicalDirector template download
TCA 723 - Diabetes   - Microsoft Word document download Best Practice template download MedicalDirector template download
TCA 723 – Osteoarthritis   - Microsoft Word document download Best Practice template download MedicalDirector template download
TCA 723 – Osteoporosis   - 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
Best Practice template download
MedicalDirector template download
Community Palliative Care Team (CPCT) - Referral Form   - Microsoft Word document download Best Practice template download
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
Maternity Booking Form   PDF document download - Best Practice template download
MedicalDirector template download
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   - Microsoft Word 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 - Clinical Genetics/Medical Genomics Referral Form   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  25 October 2016 PDF document download - Best Practice template download MedicalDirector template 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 - First Antenatal Appointment Booking Book online Best Practice template download MedicalDirector template download
RPA Women and Babies - Gynaecology Referral Form   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 - Obstetric Referral   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
Hospital - St George HospitalDate as atPDFWordBest PracticeMedical Director
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
Pulmonary Rehabilitation Program Entry 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
Hospital - St Vincent's HospitalDate as atPDFWordBest PracticeMedical Director 
Chronic Pain Services Referral   - Microsoft Word document download Best Practice template download MedicalDirector template download
Department of Gastroenterology and Hepatology Referrals Download forms from hospital's website
GP Referral to Psychogeriatric Service   PDF document download - - -
Non-Admitted Patient Clinic and Consultant Referral How to refer 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
HealthOne Sutherland - Wound Clinic Referral Form   PDF document download Microsoft Word document download Best Practice template download MedicalDirector template download
Southcare - Podiatry Referral Form   PDF document download 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
Hospital - Sydney Eye HospitalDate as atPDFWordBest PracticeMedical Director 
Sydney Eye Hospital - Eye Outpatient Referral   - Microsoft Word document download Best Practice template download MedicalDirector template download
Local Health District - South Eastern Sydney Local Health District (SESLHD)Date as atPDFWordBest PracticeMedical Director 
Nafas Naqi Referral Form   PDF document download Microsoft Word document download Best Practice template download MedicalDirector template download
NSW Health - Out of Home Care Health Management Plan (NH606661)   PDF document download - Best Practice template download MedicalDirector template download
NSW Health - Out of Home Care Primary Health Screen (2A) Under 1 yr (NH606662)   PDF document download - Best Practice template download MedicalDirector template download
NSW Health - Out of Home Care Primary Health Screen (2A) 1-5 years (NH606663)   PDF document download - Best Practice template download  MedicalDirector template download
NSW Health - Out of Home Care Primary Health Screen (2A) 6-11 years (NH606664)   PDF document download - Best Practice template download MedicalDirector template download
NSW Health - Out of Home Care Primary Health Screen (2A) 12-18 years (NH606665)   PDF document download - Best Practice template download MedicalDirector template download
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

 

Local Health District - Sydney Local Health District (SLHD)Date as atPDFWordBest PracticeMedical Director 
SLHD - Mental Health Shared Care Checklist with GPMP 19 October 2017  PDF document download - Best Practice template download MedicalDirector template download
SLHD – Mental Health Shared Care Checklist ONLY 19 October 2017  PDF document download  Microsoft Word document download    Best Practice template download   MedicalDirector template download
Healthy Homes and Neighbourhoods (HHAN) - Care Coordination Referral   PDF document download - Best Practice template download MedicalDirector template download
SLHD - CHAIN Referral and Clinical Handover Form   PDF document download - - -
SLHD - GP Incident Notification   PDF document download - Best Practice template download MedicalDirector template download
SLHD - Podiatry Service Intake Form   - Microsoft Word document download Best Practice template download MedicalDirector template download
Mental HealthDate as atPDFWordBest PracticeMedical Director 
PSS – GP Initial Referral for adults and young people (over 12 years) and Mental Health Treatment Plan   document pdf text Microsoft Word document download Best Practice template download Medical Director template download
PSS – GP Review Referral for adults and young people (over 12 years) and Mental Health Treatment Plan   document pdf text Microsoft Word document download Best Practice template download Medical Director template download
PSS – GP Initial Referral for children (12 years and under) and Child Treatment Plan   PDF document download Microsoft Word document download Best Practice template download Medical Director template download
PSS – GP Review Referral for children (12 years and under) and Child Treatment Plan   PDF document download Microsoft Word document download Best Practice template download Medical Director template download
PSS Provisional Referrals (non-GP) - Aboriginal and/or Torres Strait Islander   PDF document download Microsoft Word document download - -
PSS Provisional Referrals (non-GP) - Adolescents (12 – 25 years)   PDF document download Microsoft Word document download - -
PSS Provisional Referrals (non-GP) - Children (0 – 12 years and under)   PDF document download Microsoft Word document download - -
PSS Provisional Referrals (non-GP) - Culturally and Linguistically Diverse (CALD)   PDF document download Microsoft Word document download - -
PSS Provisional Referrals (non-GP) - Perinatal Depression   PDF document download Microsoft Word document download - -
PSS Provisional Referrals (non-GP) - Suicide Prevention (non-acute)   PDF document download Microsoft Word document download - -
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 - 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 
GSA - Generic 'Remote Consultation Request for Initiation of Hepatitis C Treatment' form   PDF document download Microsoft Word document download Best Practice template download MedicalDirector template download
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
Women's HealthDate as atPDFWordBest PracticeMedical Director
Rockdale Women’s Health Clinic Referral Form   PDF document download word docx icon Best Practice template download MedicalDirector template download