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GP Referral Templates

The Barwon Health Referral Templates have been updated to reflect the new Barwon Health phone and fax numbers.

If you need to contact us regarding the forms, please call the GP Liaison Unit on (03) 4215 8845 or email [email protected].

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

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

Colonoscopy

BP   MD   Zedmed

Jul 2019

Colposcopy

BP   MD   Zedmed

Jul 2019

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

Geelong Cardiology Practice

BP   MD   Zedmed

Jul 2019

Gynae Choices (TOP)

BP   MD   Zedmed

Jul 2019

Hepatitis C Remote Consultation for Initiation of Treatment

BP    MD    Zedmed    PDF

Jul 2019

Hospital Admission Risk Program (HARP)

BP   MD   Zedmed

Jul 2019

Hospital in the Home

BP   MD   Zedmed

Jul 2019

Medical Day Stay Unit

BP   MD   Zedmed

Jul 2019

Medical Outpatients

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

Pain Clinic

BP    MD   Zedmed   PDF

Jul 2019

Palliative Care

BP   MD   Zedmed

Jul 2019

Pregnancy Care Clinic (PCC)

BP   MD   Zedmed   PDF

Jul 2019

Preg Loss on USS (asymptomatic) EPAS

BP   MD   Zedmed   PDF

Jul 2019

Primary Mental Health Partners & Headspace

BP   MD   Zedmed Jul 2019

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, 06 September 2019