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Central Queensland
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Sunshine Coast
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Wide Bay
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| 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) |
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View on HealthPathways |
| Hospital and Health Service Specialist Outpatient Departments eReferral template |
Coming soon. |
Information Sheet
SCHHS eReferral
Gympie eReferral
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 |
View on HealthPathways |
| Persistent Pain |
No additional templates required |
Referral form [PDF]
Entry patient questionnaire [PDF] |
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| Children’s Health Queensland |
Access templates |
Access templates |
Access templates |
| Lungmax |
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Pulmonary Rehabilitation Referral Form [RTF]
Pulmonary Rehabilitation Referral Form [PDF] |
Referral Form |
| Hepatitis C Treatment MDT |
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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 |
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Nerve Conduction Studies (NCS) referral form [RTF]
Electroencephalogram (EEG) referral form [RTF] |
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| Nurse Navigator Service |
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SCHHS Nurse Navigator Service Referral [PDF]
NNS Patient Enrollment Criteria [PDF] |
Artius Referral Template |
| Artius Referrals |
Artius Referral Template [RTF] |
Artius Referral Template [RTF] |
Artius Referral Template [RTF] |
| Therapeutic Referral |
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QuIHN Therapeutic Referral [DOCX] |
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