Templates and forms

Find referral templates for practice software below.
Ensure you follow instructions on how to open the templates.

Referral templates


Central Queensland
Sunshine Coast
Wide Bay
Aboriginal and Torres Strait Islander Chronic Disease Management (CCSS and ITC) ITC Referral for Nhulundu (Gladstone and Banana)

ITC referral [RTF] (Bidgerdii)

ITC referral (Woorabinda)

Hover over me
Tooltip text
View on HealthPathways
Hospital and Health Service Specialist Outpatient Departments eReferral template Coming soon. Information Sheet

SCHHS eReferral

Gympie eReferral

SCHHS Referral Guidelines Online

Fax Cover Sheet

Fax Sheet info

View on HealthPathways
Gastroenterology procedural referral No additional templates required SCHHS Open Access Endoscopy eReferral v2 View on HealthPathways
Persistent Pain No additional templates required Referral form [PDF]

Entry patient questionnaire [PDF]

Children’s Health Queensland Access templates Access templates Access templates
Lungmax Pulmonary Rehabilitation Referral Form [RTF]

Pulmonary Rehabilitation Referral Form [PDF]

Referral Form
Hepatitis C Treatment MDT SCHHS Hep C Referral  SCHHS Hep C Referral
My Health For Life Referral form [RTF] PEN CS Recipes Referral form [RTF] PEN CS Recipes Referral form [RTF] PEN CS Recipes
SCHHS Clinical Investigation Unit Nerve Conduction Studies (NCS) referral form [RTF] Electroencephalogram (EEG) referral form [RTF]
Nurse Navigator Service SCHHS Nurse Navigator Service Referral [PDF]

NNS Patient Enrollment Criteria [PDF]

Central Queensland
Sunshine
Coast
Wide Bay
Aboriginal and Torres Strait Islander Chronic Disease Management (CCSS) ITC Referral for Nhulundu (Gladstone and Banana)

CCSS Referral (Bidgerdii)

 

View on HealthPathways
Hospital and Health Service Specialist
Outpatient Departments eReferral template
Coming soon. Information Sheet

SCHHS eReferral

Gympie eReferral

SCHHS Referral Guidelines Online

Fax Cover Sheet

Fax Sheet info

View on HealthPathways
Gastroenterology procedural referral No additional templates required SCHHS Open Access Endoscopy eReferral v2 View on HealthPathways
Persistent Pain No additional templates required Referral form [PDF]

Entry patient questionnaire [PDF]

Lungmax Pulmonary Rehabilitation Referral Form [RTF]

Pulmonary Rehabilitation Referral Form [PDF]

Children’s Health Qld Access templates Access templates Access templates
Hepatitis C Treatment MDT SCHHS Hep C Referral  SCHHS Hep C Referral
My Health For Life Updated Referral form [RTF] PEN CS Recipes Updated Referral form [RTF] PEN CS Recipes Updated Referral form [RTF] PEN CS Recipes
SCHHS Clinical Investigation Unit Nerve Conduction Studies (NCS) referral form [RTF] Electroencephalogram (EEG) referral form [RTF]
Nurse Navigator Service SCHHS Nurse Navigator Service Referral [PDF]

NNS Patient Enrollment Criteria [PDF]

Central Queensland
Sunshine
Coast
Wide Bay
Hospital and Health Service Specialist Outpatient Departments eReferral template SCHHS eReferral
Persistent Pain Referral form [PDF]

Entry patient questionnaire [PDF]

Lungmax Pulmonary Rehabilitation Referral Form [PDF]
Children’s Health Queensland here Access templates Access templates Access templates
Hepatitis C Treatment MDT SCHHS Hepatitis eReferral  SCHHS Hepatitis eReferral
My Health For Life Updated Referral form [RTF] PEN CS Recipes Updated Referral form [RTF] PEN CS Recipes Updated Referral form [RTF] PEN CS Recipes
SCHHS Clinical Investigation Unit Nerve Conduction Studies (NCS) referral form [RTF] Electroencephalogram (EEG) referral form [RTF]
Nurse Navigator Service SCHHS Nurse Navigator Service Referral [PDF]

NNS Patient Enrollment Criteria [PDF]

Open Access Endoscopy SCHHS Open Access Endoscopy Referral [PDF]

GP plans and forms



GP listening to heart beat

How to use templates


Right click. Save template

Open template in your software