Resources for Health Professionals

This section contains eReferral forms and information that Health Professionals can use to create referrals, or evaluate options available at UQHL for patients within their care.

Downloadable eReferrals

eReferral GP Form (version 4) Click here to download

Chronic Disease Management (CDM)

eReferral Form for Chronic Disease Allied Health Services under Medicare Click here to download

Please attach a copy of the GP Management Plan (MBS item 721 or 732) AND Team Care Arrangements (MBS item 723 or 732).

LiveWell Diabetes Program

eReferral Form for Group Allied Health Services under Medicare for patients with type 2 diabetes.  Click here to download

Please attach a copy of the GP Management Plan (MBS item 721 or 732).

 

New Client Intake Forms

Pre Attendance Information Form Click here to download

Request for Patient Record – Consent Form Click here to download 

Please download, complete both forms & email to uqhealthyliving@uqhealthcare.org.au. Our reception will then be in touch to arrange the first consultation.