Zedmed Clinical Templates
| Total number of templates: 68 | Loading into Zedmed Instructions |
| Chronic Disease Management |
| 10th August 2007 | ATSI Child Health Assessment |  |
| Item 708 | ||
| 10th August 2007 | 45 - 49 Health Check | |
| 26th February 2007 | GPMP Review 721 | |
| 26th February 2007 | GPMP Review 725 | |
| 26th February 2007 | Health Assessment 700 - 706 | |
| 26th February 2007 | HMR Referral 900 | |
| 26th February 2007 | TCA 723 | |
| 26th February 2007 | TCA Review 727 | |
| 3rd July 2008 | Healthy Kids Check Items 709 and 711 (with logo) | |
| Template for Healthy Kids check, items 709 (completed by doctor) and 711 (completed by practice nurse). This template includes the Department of Health and Ageing logo. | ||
| 3rd July 2008 | Healthy Kids Check Items 709 and 711 (without logo) | |
| Template for Healthy Kids check, items 709 (completed by doctor) and 711 (completed by practice nurse). This version does NOT include the Department of Health and Ageing logo. | ||
| 15th July 2008 | Lifestype Modification Program Referral | |
| Referral template for GPs referring patients to Lifestype modification Programs under the prevention of Type 2 Diabetes program (item 713) | ||
| 15th July 2008 | Risk Assessment Tool for Type 2 Diabetes | |
| Risk Assessment Tool for Type 2 Diabetes - part of the requirements for Item 713, Type 2 Diabetes Risk Evaluation. | ||
| 6th October 2008 | Comprehensive Medical Assessment item 712 | |
| Template for a Comprehensive Medical Assessment as required for item 712 - CMA for permanent resident of a nursing home or aged care facility. | ||
| 13th November 2008 | RMMR GP Referral 903 | |
| Residential Medication Management Review Referral - Item 903 | ||
| 4th December 2008 | Diabetes Cycle of Care | |
| Template for recording Diabetes Cycle of care requirements. | ||
| 4th December 2008 | Diabetes Cycle of Care with Custom Merge fields | |
| Document template for recording Diabetes Cycle of Care requirements, including custom merge fields which prompt for entry of information and then drop the information into the specified part of the template. | ||
| 22nd January 2009 | Referral for Allied Health Group Services | |
| Referral form for Allied Health GROUP services under Medicare for Patients with Type 2 Diabetes | ||
| 30th March 2009 | GPMP 721 | |
| GPMP 721 template from the Australian Government Department of Health and Aging Website | ||
| 30th March 2009 | TCA 723 | |
| TCA 723 template from the Australian Government Department of Health and Aging Website | ||
| 30th March 2009 | Combined GPMP and TCA 721 and 723 | |
| Combined GPMP and TCA template from the Australian Governement Department of Health and Aging website | ||
| 8th July 2009 | Asthma Action Plan | |
| 8th July 2009 | Asthma Annual Cycle of Care | |
| Template allowing doctor to add in dates the various requirements for the Astham Annual Cycle of Care are completed. | ||
| Mental Health |
| 10th August 2007 | GP Mental Health Plan (2710) | |
| 10th August 2007 | GP Mental Health Plan Review (2712) | |
| 21st February 2007 | Mood Disorder Questionaire | |
| Miscellaneous |
| 21st February 2007 | Implanon Insertion | |
| 14th August 2007 | DASH (Quick) Questionaire | |
| 14th August 2007 | DASH Questionaire | |
| 14th August 2007 | Shoulder Assessment with DASH Questionaire | |
| 14th August 2007 | Shoulder Assessment | |
| 5th March 2009 | Pregnancy Investigations | |
| Template allowing recording results of standard a set of Pregnancy Labroatory Investigations | ||
| 3rd September 2010 | RNDRD Form | |
| 3rd September 2010 | Cardio Vascular Services Referral | |
| 3rd September 2010 | Cardio Vascular Services-Vascular Referral | |
| Offical Government Forms |
| 14th August 2007 | Centrelink Medical Certificate | |
| 14th August 2007 | EPC Referral | |
| 19th February 2007 | Allied Health Services under Medicare Referral | |
| Enhanced Primary Care (EPC) Program, Referral Form for Allied Health Services under Medicare. | ||
| 6th November 2008 | Dental Service Referral June 2008 | |
| Referral Form for Dental Services under Medicare - revised June 2008 | ||
| 31st March 2009 | Medical Certificate for ACT | |
| Medical Certificate for ACT Workers Compensation Claims - to be completed by a Doctor | ||
| 19th June 2009 | Diabetes Allied Health Referral | |
| Referral form for Allied Health Group Services under Medicare for patients with type 2 diabetes | ||
| 21st May 2010 | PIP Indigenous Health Incentive - Patient Registration Form | |
| Medicare's P.I.P. Indigenous Health Incentive - Patient Registration Form | ||
| 21st May 2010 | PIP Ingidenous Health Incentive - Patient consent | |
| Medicare's P.I.P. Ingidenous Health Incentive - Patient consent | ||
| 21st May 2010 | PIP Indigenous Health Incentive - Practice Application Form | |
| Medicare's P.I.P. Indigenous Health Incentive - Practice Application Form | ||
| State Specific Forms - NSW |
| 24th July 2008 | NSW Workcover - updated May 08 | |
| NSW Workcover updated their form very slightly. This is the updated version. | ||
| State Specific Forms - QLD |
| 19th February 2007 | Aged Care Health Service Referral | |
| Southern Aged Care Health Service | ||
| 19th February 2007 | Blue Care Referral | |
| Uniting Care Queensland, Referral Form. | ||
| 19th February 2007 | HGGW Referral | |
| Healthier Great Green Way, Promoting Health in the Tropics. | ||
| 19th February 2007 | MAHS Referral Form | |
| FNQ Rural Division of General Practice Assn. Inc., More Allied Health Services (MAHS) | ||
| 19th February 2007 | Mental Health Care Project Form | |
| Far North Queensland Rural Division of General Practice Asn. INC. | ||
| 19th February 2007 | QLD Gov - Adult Mental Health Referral | |
| Integrated Mental Health Program, Innisfail Health Service District | ||
| 19th February 2007 | QLD Gov - Child & Youth Mental Health Referral | |
| Innisfail Health Service District | ||
| 19th February 2007 | QLD Gov - Continence Referral Form | |
| Innisfail Primary Health | ||
| 11th March 2008 | IRIS Indigenous Risk Impact Screen | |
| 27th August 2009 | QLD Workers Compenation Certificate 2009 | |
| Update QCOMP certifiacte as of February 2009 | ||
| State Specific Forms - VIC |
| 14th August 2007 | Certificate of Capacity | |
| 16th May 2007 | Victorian State Wide Referral Template | |
| 21st January 2009 | TAC Medical Certificate Initial | |
| Initial TAC medical Certificate, used in Victoria | ||
| 21st January 2009 | TAC Medical Certificate Subsequent | |
| Subsequent TAC Medical Certificate - used in Victoria | ||
| 9th June 2009 | Application for Permit to Treat with S8 Drugs without notes | |
| Victorian State Government application for a permit to treat a patient with Schedule 8 drugs. This one does not include the explanatory notes. | ||
| 9th June 2009 | Application for Permit to treat with S8 Drugs with notes | |
| Victorian State Government application for a permit to treat a patient with Schedule 8 drugs. This version includes the two pages of explanatory notes in the original form. | ||
| State Specific Forms - WA |
| 7th March 2008 | Community Linkage COPD | |
| Referral Form | ||
| 7th March 2008 | Southern Aged Care Evaluation | |
| and Rehabilitation Referral | ||
| 7th March 2008 | Outpatient Appointment Referral | |
| WA Department of Health | ||
| 7th March 2008 | Diabetes Education Referral | |
| 7th March 2008 | Metropolitan Health Services Outpatients Referral | |
| 7th March 2008 | Silver Chain Hospice Referral | |
| 7th March 2008 | Silver Chain Referral Transfer Form | |
| 7th March 2008 | SMHS Gastro Procedure Request Form | |