Templates and forms

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

Hospital referral templates


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

ITC referral [RTF] (Bidgerdii)

Best Practice screen shot

ITC referral [DOC]

Hover over me
Tooltip text
ITC referral form

ITC referral [PDF]

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

Bundaberg Hospital eReferral

Hervey Bay Hospital eReferral

Maryborough Hospital eReferral

WBHHS Referral Guidelines

Gastroenterology procedural referral No additional templates required SCHHS Gastroenterology procedural eReferral WBHHS Colonoscopy Referral form
Persistent Pain No additional templates required Referral form [PDF]

Entry patient questionnaire [PDF]

No additional templates required
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
Central Queensland
Sunshine
Coast
Wide Bay
Aboriginal and Torres Strait Islander Chronic Disease Management (CCSS) CCSS Referral ITC Referral form

ITC Referral [PDF]

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

Bundaberg Hospital eReferral

Hervey Bay Hospital eReferral

Maryborough Hospital eReferral

WBHHS Referral Guidelines

Gastroenterology procedural referral No additional templates required Gastroenterology procedural eReferral WBHHS Colonoscopy Referral form
Persistent Pain No additional templates required Referral form [PDF]

Entry patient questionnaire [PDF]

No additional templates required
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
Central Queensland
Sunshine
Coast
Wide Bay
Hospital and Health Service Specialist Outpatient Departments eReferral template SCHHS eReferral Not available at this time
Orthopaedics Hip and Knee questionnaire [PDF]
Persistent Pain Referral form [PDF]

Entry patient questionnaire [PDF]

Children’s Health Queensland Access templates Access templates  Access templates

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How to use templates


Right click. Save template

Open template in your software