GP Referral Templates

Referral templates for Barwon Health services are available for importing into Best Practice, Medical Director or Zedmed.

During 2023, referral templates are being updated for a number of services. Please refer to the below to ensure you have downloaded the current versions.

If you need to contact us regarding the templates, please contact the GP Liaison Unit on (03) 4215 8845 or This email address is being protected from spambots. You need JavaScript enabled to view it.

For relevant referral and service criteria, please visit https://westvic.communityhealthpathways.org/

IMPORTANT: please read the instruction documents below to ensure you successfully import the template you require.

New templates 2024

If you are a ZedMed user, please contact This email address is being protected from spambots. You need JavaScript enabled to view it., as we are currently working on getting these templates updated.

Template

Version date

Click on the appropriate software

Referral template for

Advance Care Planning

April 2024

BP  MD

Advance Care Planning

Audiology

April 2024

BP  MD

Audiology services
Barwon Health North
Child and Family Services		 April 2024 BP  MD BHN Child & Family Services
Community Health & Rehab April 2024 BP  MD
  • Community Rehabilitation Centre
  • Community Geriatric Clinic
  • Concussion Clinic
  • Continence Clinic
  • Falls & Balance Clinic
  • Motor Neurone Disease Clinic
  • Spasticity Management Clinic
  • Prosthetics & Orthotics service
  • McKellar Kids Rehab (VPRS/YATS)
  • Community Health & Primary Care services
Community Nursing April 2024 BP  MD Community Nursing services
Connected Care April 2024 BP  MD
  • Complex Care community services
  • Hospital Admission Risk Program
Memory Clinic April 2024 BP  MD Cognitive Dementia and Memory Service (McKellar)
Eating Disorders April 2024 BP  MD Eating Disorder Service
Mental Health, Drug & Alcohol April 2024 BP  MD Mental Health, Drug & Alcohol triage & access
Smoking Cessation April 2024 BP  MD Smoking Cessation service/Be Smokefree Clinic

Existing templates

Referral template for

Click on the appropriate software

Version Date

Aged Care Assessment Service (ACAS)

Refer to My Aged Care Website

2017

Andrew Love Cancer Centre (ALCC)

BP    MD   Zedmed

Jul 2019

Cardiology Consultation

BP   MD   Zedmed

Feb 2022

Cardiology Diagnostic

 BP   MD   Zedmed  PDF Feb 2022

Colonoscopy

 BP   MD   Zedmed Jul 2019

Colposcopy

BP   MD   Zedmed

Feb 2022

DDH Club Foot

BP    MD   Zedmed

Jul 2019

Diabetes Referral Centre (DRC) 

BP    MD   Zedmed

Jul 2019

Emergency Department (ED) 

BP   MD   Zedmed

Jul 2019

Gastroscopy

BP   MD   Zedmed   

Jul 2019

Gynae Choices (TOP)

BP   MD   Zedmed

Jul 2019
Medical Outpatients

Template for:

  • Chronic Liver Disease + Hep C clinics
  • Dermatology clinic
  • Endocrinology public clinic
  • Gastroenterology clinic
  • General Medicine clinic
  • Gen Med Early Access Clinic
  • Inflammatory Bowel Disease clinic
  • Infectious Diseases (+ Refugee service)
  • Liver Mass clinic
  • Respiratory clinics
  • Cardiology public clinics
  • Neuroscience public clinics
  • Renal services public clinic
  • Medical Day Stay unit ( Iron Infusion)
  • Hospital In the Home
 BP     MD    ZM Mar 2023

Ortho OPD

BP    MD   Zedmed

Jul 2019

Paediatric Outpatient (BRANCHS) clinic

 BP    MD   Zedmed Aug 2022

Pain Clinic

BP    MD   Zedmed   PDF

Jul 2019

Palliative Care

BP   MD   Zedmed

Jul 2019
Pregnancy Care template
  • Pregnancy Care clinics
  • Obstetric specialty clinics
 BP     MD    ZM Mar 2023

Preg Loss on USS (asymptomatic) EPAS

BP   MD   Zedmed   

Nov 2021

Surgical OPD

BP   MD   Zedmed         

Jul 2019

Transition Care Program

 Practitioner Portal 2018

Last Modified: Friday, 19 April 2024