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 2023

Template

Version date

Click on the appropriate software

Referral template for

Pregnancy Care template

March 2023

BP     MD    ZM

Template for:

  • Pregnancy Care clinics
  • Obstetric specialty clinics

Medical Outpatients

March 2023

BP     MD    ZM

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

Existing templates

Referral template for

Click on the appropriate software

Version Date

Aged Care Assessment Service (ACAS)

Refer to My Aged Care Website

2017

Advance Care Planning

BP   MD   Zedmed   PDF

Jul 2019

Andrew Love Cancer Centre (ALCC)

BP    MD   Zedmed

Jul 2019

Audiology

BP    MD   Zedmed  

Jul 2019

BHN Paediatric Developmental Assessment

BP    MD    Zedmed Oct 2020

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

Community Health & Rehabilitation (CH&R)

BP   MD   Zedmed

Jul 2019

Community Nursing

BP    MD   Zedmed

Jul 2019

DDH Club Foot

BP    MD   Zedmed

Jul 2019

Diabetes Referral Centre (DRC) 

BP    MD   Zedmed

Jul 2019

Eating Disorders

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

Hospital Admission Risk Program (HARP)

BP   MD   Zedmed

Jul 2019

Memory Clinic

BP   MD   Zedmed

Jul 2019

Mental Health Drug & Alcohol Services

BP   MD   Zedmed

Jul 2019

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

Preg Loss on USS (asymptomatic) EPAS

BP   MD   Zedmed   

Nov 2021

Smoking Cessation / Be Smokefree

BP   MD   Zedmed   PDF   

Jul 2019

Surgical OPD

BP   MD   Zedmed         

Jul 2019

Transition Care Program

Practitioner Portal 2018

Last Modified: Friday, 10 March 2023