Mornington Peninsula Division of General Practice

Resources

Listed below are a number of links or downloads to information that is useful to general practitioners, nursing and reception staff. It is organised under a variety of headings and is in alphabetical order. It may be a duplication of resources already listed on the pages of the various programs that the Division runs. Resources are either web links, Microsoft Word or PowerPoint documents or pdf files. To open a pdf file you require Acrobat Reader which is freely available from here.

4 year old Health Kids Check

Information on the 4 year old Health Kids Check item numbers  709 and 711 is present on pages 8 to 10 from the July 2008 MBS supplement.   An extract of which is below.

HEALTHY KIDS CHECK (ITEMS 709 AND 711)
There is substantial national and international evidence that comprehensive early intervention programs for children
and their families have long term benefits for physical and mental health, educational achievement and emotional
functioning.
The purpose of the Healthy Kids Check is to ensure that every four year old child in Australia has a basic health
check to see if they are healthy, fit and ready to learn when they start school. The Healthy Kids Check will promote
early detection of lifestyle risk factors, delayed development and illness, and introduce guidance for healthy
lifestyles and early intervention strategies. The Check will provide an opportunity to:
• issue parents/guardians with information and advice on healthy habits for life for children;
• link parents/guardians and children to the primary health care system;
• assist General Practitioners (GPs) and Practice Nurses to identify any health issues for children prior to starting
school; and
• enable GPs to provide treatment or referral for any conditions identified as a result of the check.
Consent
Before the health check is commenced, the patient’s parent/guardian must be given an explanation of the health
check process and its likely benefits, and must be asked by the medical practitioner or nurse whether they consent to
the health check being performed. Consent must be noted on the patient record.
Limits
A Medicare rebate is payable for this item only once for any eligible patient. This item is not an annual health
check.
The GP or Practice Nurse is required to note if a copy of the Department's publication on developing healthy habits
for kids (the Guide) has been provided to the patient’s parents/guardian. They are also required to note that the four
year-old immunisation has been given (including evidence provided).
If a health professional is unsure whether a patient has already received this service, they may call Medicare
Australia, with the patient’s parent/guardian present, on 132 011.
Eligible practitioners
The health check can be claimed by a medical practitioner, including a GP but not including a specialist or
consultant physician. The medical practitioner should generally be the patient’s ‘usual doctor’, that is, the GP (or a
GP in the same practice) who has provided the majority of services to the patient in the past 12 months, and/or is
likely to provide the majority of services in the following 12 months.
All GPs whether vocationally registered or not are eligible to claim this item. The term “GP” is used in these notes
as a generic reference to medical practitioners able to claim this item.
The health check can also be undertaken on behalf of a GP by a practice nurse. The practice nurse is a registered or
enrolled nurse who is employed by, or whose services are otherwise retained by a general practice.
Should the practice nurse identify any health concerns that require medical intervention, the patient must be
reviewed by the patient’s ‘usual doctor’ who will arrange referrals and follow-up as clinically required.
Items 709 and 711 do not apply for services that are provided by any other Commonwealth or State funded services.
However, where an exemption under subsection 19(2) of the Health Insurance Act 1973 has been granted to an
Aboriginal Community Controlled Health Service or State/Territory Government health clinic, items 709 and 711
can be claimed for services provided by medical practitioners or nurses salaried by or contracted to, the Service or
health clinic. All requirements of the items must be met.
In all cases, the GP under whose supervision the health check is being provided retains responsibility for the health,
safety and clinical outcomes of the patient. The GP must be satisfied that the practice nurse is appropriately
qualified and trained to provide the service. GPs are advised to consult their insurer concerning indemnity coverage
for services performed on their behalf.
General practices and Aboriginal Community Controlled Health Services and State/Territory health clinics that are
exempt under subsection 19(2) of the Health Insurance Act 1973 that utilise nurses to provide the Healthy Kids
Check should also have a written clinical risk management strategy covering issues like clinical roles, patient follow
up and patient consent.
Continuing professional development is recommended for all nurses and general practitioners providing the Healthy
Kids Check.
Supervision at a distance is recognised as an acceptable form of supervision. This means that the claiming GP does
not have to be physically present at the time the service is provided. However, the GP should be able to be
contacted if required.
Where the GP and practice nurse are at the same location, the GP is not required to be present while the Healthy
Kids Check is undertaken. It is up to the GP to decide whether he or she needs to see the patient. Where the GP has
a consultation with the patient that does not form part of the Healthy Kids Check, then the GP is entitled to claim a
Medicare item for the time and complexity of their personal attendance with the patient. The time the patient
spends receiving a service from the practice nurse is itemised separately under item 711 and should not be counted
as part of the Medicare item claimed for time spent with the GP. Where the practice nurse provides another service
(eg immunisation) on the same day, the GP is able to claim for both items.
In circumstances where the health check is not undertaken at the patient’s usual medical practice, a copy of a record
of the health check should be forwarded to that practice (subject to the agreement of the patient’s parent/guardian).
Item 10990 or 10991 (bulk billing incentives) can be claimed in conjunction with items 709 and 711 provided the
conditions of item 10990 and 10991 are satisfied (see explanatory note M.1.)
Components of the health check
The health check must include:
• information collection, including taking a patient history and undertaking examinations and investigations
as required;
• the basic physical examinations and assessments (as outlined below);
• initiating interventions and/or referrals as indicated; and
• providing health advice and information to the patient’s parents/guardian, utilising the Department's
publication on developing healthy habits for kids (the Guide) and other relevant information (such as a
parent/guardian-held child health record).
Information collection
The health check must include taking a patient history (if one does not already exist) or updating an existing record.
It must include family and environmental factors, medical and social history, and lifestyle risk factors.
Investigations should be undertaken or arranged as clinically indicated, in accordance with relevant guidelines.
Examinations and assessments (Mandatory)
The health check must include an assessment of the patient’s health, based on the patient history, examinations and
the results of any investigations (see Information collection).
In assessing the child’s development, parents/guardians should be encouraged to provide relevant information
through questions such as ‘Do you have any concerns about your child’s development? Behaviour? Learning? Or,
concerning hearing/speech, ‘Are you happy with the number of words your child uses and their understanding of
directions?’
The health check must include the following basic physical examinations and assessments:
(a) Height and weight (plot and interpret growth curve/calculate BMI)
(b) Eyesight
(c) Hearing
(d) Oral health (teeth and gums)
(e) Toileting
(f) Allergies
Additional Matters for consideration)
The health check may include the following matters, at the discretion of the GP/practice nurse and according to his
or her clinical judgement:
• General wellbeing
(a) Diet
(b) Physical activity
(c) Lifestyle risk factors
• Developmental
(d) Developmental milestones
(e) Speech and language
(f) Fine and gross motor skills
(g) Behaviour and Mood
The Healthy Kids Check may also include examinations and investigations that are region-specific such as, but not
limited to, trachoma and Rheumatic Heart Disease examinations in the Northern Territory and investigations
designed to test for infections due to any recent, local outbreaks of infectious diseases (eg. measles).
Interventions
Where appropriate, arrangements need to be put in place for referrals and follow-up of any problems identified.

Further information can be obtained from http://www.health.gov.au/internet/main/publishing.nsf/Content/Healthy_Kids_Check

45 -49 Year Old Health Check

nThis is a once only item no. for pts. aged 45 -49 inclusive who are at risk of developing a chronic disease. It aims to detect and prevent chronic disease and allow early intervention. Patients must have identifiable risk factors such as: -
  • ¨Lifestyle –smoking, physical inactivity, poor nutrition, excess alcohol intake 
  • ¨Biomedical- High Cholesterol, BP, Weight 
  • ¨Family history
This item should only be used by the patients usual doctor. Practice nurses may assist.
 Consider risk factors opportunistically or by patient surveys, mail invitations, advertising in waiting room
Item 717 + 10990 or 10991
Fee: $100.00        Benefit: 100% = $100.00
n
Resources
¨Department of Health and Ageing                          
¨RACGP Web site       ¨
¨Lifescripts                   

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Accident & Emergency Referral Template

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Aged Care
Comprehensive Medical Assessment (Medical Director Template)

Map of Mornington Peninsula with nursing home locations

PowerPoint presentation on Aged Care initiative

Discussion Paper on Advanced Directives
(Short Version - Discussion Paper on Advanced Directives)

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Autism

Information on the services available for families with patients who have autism are found at:

Connecting Care

ConnectingCare is a web based service that allows referrals to members. General practices can join by submitting this application. The service is free. Tony Vivian from the Frankston Mornington Peninsula Primary Care Partnership is available to help you use this product. His email is tvivian@phcn.vic.gov.au

Powerpoint on ConnectingCare
Application form to join ConnectingCare

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Medicare Aged Care Initiatives Divisions of General Practice Information Sheet

Australian Government Department of Health and Ageing

http://www.health.gov.au/medicare/news/adgpfs04.htm

MedicarePlus Aged Care GP Panels Initiative

Australian Divisions of General Practice

http://www.adgp.com.au/site/index.cfm?display=2343

Aged Care Homes

General Practice Divisions Victoria

http://www.gpdv.com.au/gpdv/

Residential Aged Care Facilities Resources

Newsletter

September 2004 (pdf)
 October 2004 (pdf)
November 2004 (pdf)
December 2004 (pdf)
July 2005 (pdf)
October 2005 (pdf)

Medicare Information

MBS service items relevant to RACF's (pdf)

MPDGP Care Planning Kit (pdf)

Computer Information

Medical Director for RACF's

Medical Director Instructions

Residential Medication Management Reviews

RMMR Information for GPs (pdf)
RMMR Questions and Answers (pdf)
RMMR Flow Chart (pdf)
RMMR Check List (pdf)
RMMR Referral (pdf)
Installing Templates in Medical Director (pdf)
RMMR Template for Medical Director  (rtf)

 

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Asthma - Chronic Disease Initiative

Changes to Asthma Cycle of care 1st November 2006

Items 2546 -2559 & 2664 -2667 – trigger item completes the minimum requirements of the Asthma Cycle of Care
nAt a minimum the Asthma Cycle of Care must include:
n- at least 2 asthma related consultations within 12 months for a patient with moderate to severe asthma (at least 1 of which (the review consultation) is a consultation that was planned at a previous consultation)
n- documented diagnosis and assessment of level of asthma control and severity of asthma
n- review of the patient's use of and access to asthma related medication and devices
n- provision to the patient of a written asthma action plan (if the patient is unable to use a written asthma action plan - discussion with the patient about an alternative method of providing an asthma action plan, and documentation of the discussion in the patient's medical records)
n- provision of asthma self-management education to the patient
n- review of the written or documented asthma action plan  

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Cancer Case Conferences
Peninsula Hospice Service hold case conferences every Thursday. GPs are invited to participate via the telephone if one of their patients is being discussed.
 
nItem 871 –Multidisciplinary Cancer Care Case Conference
¨Initiate, lead and organise case conference to develop care plan
¨3 other practitioners, GPs, specialists or allied health
¨10 minutes or more duration
nItem 871 Fee: $71.00 Benefit: 75% = $53.25  85% = $60.35
 
nItem 872 –Multidisciplinary Cancer Care Case Conference
¨Participate in case conference to develop care plan
¨3 other practitioners, GPs, specialists or allied health
¨10 minutes or more duration
nItem 872 Fee: $33.00  Benefit: 75% = $24.75  85% = $28.05

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Cervical Screening - Chronic Disease Initiative

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Diabetes

Information on the diabetes risk evaluation item number (item 713) is available on pages 10 -12 of the July 2008 MBS supplement. An extra of which is below.

TYPE 2 DIABETES RISK EVALUATION (ITEM 713)
The purpose of this item is to support general practitioners (GPs) to address the health needs of patients 40 to 49
years of age who are at ‘high risk’ of developing type 2 diabetes. The ‘high risk’ score will be determined
following the patient’s completion of the Australian Type 2 Diabetes Risk Assessment Tool. The aim of this item is
to review the factors underlying the ‘high risk’ score identified by the Australian Type 2 Diabetes Risk Assessment
Tool to instigate early interventions, such as lifestyle modification programs, to assist with the prevention of type 2
diabetes.
Clinical trials have provided strong evidence that progression to type 2 diabetes can be prevented or delayed by
lifestyle modification. Randomised controlled trials in the United States and Finland have demonstrated reductions
in the incidence of type 2 diabetes of 58% over 3 years in people with impaired glucose tolerance who received diet
and exercise programs compared with control groups.
Many Australians, particularly those aged 40 – 49 years, are at risk of developing type 2 diabetes through lifestyle
factors relating to nutrition and physical activity. Type 2 diabetes is a largely preventable chronic disease that is
becoming increasingly common in Australia. If undetected or poorly controlled, type 2 diabetes can result in acute
and long term complications. It is a leading cause of vascular disease (coronary artery disease, stroke and
peripheral vascular disease), visual impairment and blindness, kidney failure, foot ulcers, amputation and
impotence.
Eligible Population
The Type 2 Diabetes Risk Evaluation is targeted at people aged 40 to 49 years (inclusive) who are at high risk of
developing type 2 diabetes.
Assessing a ‘high risk’ score and conducting a Type 2 Diabetes Risk Evaluation
The Type 2 Diabetes Risk Evaluation is a review of the factors underlying the ‘high risk’ score identified by the
Australian Type 2 Diabetes Risk Assessment Tool.
Clinical factors that the GP should consider include:
• lifestyle, such as smoking, physical inactivity and poor nutrition;
• biomedical risk factors, such as high blood pressure, impaired glucose metabolism and excess weight;
• any relevant recent diagnostic test results; and
• family history.
As part of a regular consultation (billed under the appropriate attendance item) a GP may suspect that a patient may
have, or be at risk of developing diabetes. The GP may consequently order diagnostic tests to exclude the presence
of type 2 diabetes. If diabetes is diagnosed, the GP may determine that a chronic disease management item is
clinically relevant. If diabetes is not diagnosed, the GP may advise the patient to complete the Australian Type 2
Diabetes Risk Assessment Tool.
If the GP determines that the patient is not likely to have already developed diabetes, but the Australian Type 2
Diabetes Risk Assessment Tool indicates that the patient is at ‘high risk’, the GP may choose to undertake a Type 2
Diabetes Risk Evaluation during the same attendance (billed under item 713). If the preceding consultation was not
exclusively related to diabetes risk assessment, and was a clinically relevant service (see General Explanatory Note
1.2), the appropriate attendance item may also be claimed.
Medicare Eligibility
A Medicare rebate is payable for the Type 2 Diabetes Risk Evaluation only once every three years for any eligible
patient, or where more than three years has elapsed since item 717 has been claimed by that patient. If a GP is
unsure whether a patient has already received this service, they may call Medicare Australia, with the patient
present, on 132 011. The item does not apply to patients admitted to a hospital or day-hospital facility.
Eligible practitioners
The Type 2 Diabetes Risk Evaluation should generally be undertaken by the patient’s ‘usual doctor’, that is, a
medical practitioner, or a medical practitioner in the practice, who has provided the majority of services to the
patient in the past 12 months, and/or is likely to provide the majority of services in the following 12 months. A
medical practitioner includes a general practitioner but not a specialist or consultant physician. In these notes, the
term “GP” is used as a generic reference to a medical practitioner able to claim this item.
Components of the Type 2 Diabetes Risk Evaluation
The risk evaluation must include:
• evaluation of a ‘high risk’ score determined by the Australian Type 2 Diabetes Risk Assessment Tool, which
has been completed by the patient within a period of 3 months prior to undertaking the Type 2 Diabetes Risk
Evaluation service;
• updating a patient history and undertaking examinations and investigations in accordance with relevant
guidelines (see below);
• making an overall assessment of the patient’s risk factors, relevant examinations and the results of any
investigations.
• initiating interventions where appropriate, including referrals and follow-up relating to the management of any
risk factors identified; and
• providing advice and information (such as Lifescripts resources) to the patient including strategies to achieve
lifestyle and behaviour changes where appropriate.
Australian Type 2 Diabetes Risk Assessment Tool
The Australian Type 2 Diabetes Risk Assessment Tool has been developed to provide a basis for both health
professionals and health consumers to assess the risk of type 2 diabetes. It consists of a short list of questions that,
when completed, provides a guide to a patient’s current level of risk of developing type 2 diabetes. The item scores
and risk rating calculations in the tool have been developed using demographic, lifestyle, anthropometric and
biomedical data from the 2000 Australian Diabetes, Obesity and Lifestyle baseline survey and the AusDiab 2005
follow-up study.
The Australian Type 2 Diabetes Risk Assessment Tool can be obtained from www.health.gov.au/epc .
The completion of the Australian Type 2 Diabetes Risk Assessment Tool is mandatory for patient access to the
Type 2 Diabetes Risk Evaluation item. The tool can be completed either by the patient or with the assistance of a
health professional or practice staff. Patients with a ‘high’ score result are eligible to attend a Type 2 Diabetes Risk
Evaluation by their GP, and subsequent referral to the lifestyle modification programs if appropriate.

Lifestyle Modification Program
Eligible patients who have attended a diabetes risk evaluation with their GP, under this item, may be referred to a
subsidised lifestyle modification program as one of a number of possible intervention strategies in addition to what
may be available locally.
Where a service for an eligible patient has previously been billed under item 717, but within the specified three year
period the risk of diabetes as measured by the Australian Type 2 Diabetes Risk Assessment Tool increases to ‘high’,
the patient’s GP may use his/her clinical judgement in a subsequent consultation to refer the patient to the lifestyle
modification programs if it would provide health benefits.
Relevant resources on lifestyle modification are available at www.healthinsite.gov.au , including for patients who
may not wish to attend or are unable to participate in a formal lifestyle modification program.
Role of the GP
The GP is responsible for the conduct of the Type 2 Diabetes Risk Evaluation provided to the patient. The GP is
expected to take a primary role in the following activities:
• Reviewing and analysing the information collected (including the risk factors underlying the ‘high risk’ score
identified by the Australian Type 2 Diabetes Risk Assessment Tool);
• Making an overall assessment of the risk factors that contributed to the “high” risk score of the patient and their
readiness to make lifestyle changes to address these identified risk factors;
• Undertaking and arranging relevant investigations;
• Making relevant referrals, including to lifestyle modification programs, and identifying appropriate follow-up;
and
• Providing information and advice to the patient, for example, to undertake lifestyle modifications, and/or the
use of Lifescript resources. Access to subsidised lifestyle modification programs will require the provision of a
formal referral letter including the provider number of the referring GP.
Role of other health professionals
Practice nurses, Aboriginal Health Workers and other health professionals may assist GPs in performing the Type 2
Diabetes Risk Evaluation, in accordance with accepted medical practice and under the supervision of the GP.
This may include activities which:
• identify eligible patients through examination of patient records, patient information systems, and risk
assessment tools used within the practice;
• collect information such as measuring height and weight (body mass index), waist circumference and blood
pressure;
• provide patients with information about recommended interventions, and actions the patient should take (at the
direction of the GP) to encourage good health.
Relationship with other GP consultation items
This diabetes risk evaluation item cannot be claimed in conjunction with another GP attendance item on the same
day, except where this is clinically relevant (ie for a health issue unrelated to diabetes risk assessment).
Indigenous Australians are able to access the Aboriginal and Torres Strait Adult Health Check (MBS item 710) and
a Type 2 Diabetes Risk Evaluation item if they meet the patient eligibility requirements. GPs are encouraged to use
item 710 where appropriate because it covers a broad range of health issues including diabetes. Under item 710,
GPs can refer patients with a high risk of developing type 2 diabetes to a subsidised lifestyle modificiation
program. It is expected that item 710 covering ages 15-54 years, would negate the need for patients to have a
separate Type 2 Diabetes Risk Evaluation. Patients eligible for item 710 are able to access the Type 2 Diabetes Risk
Evaluation item 713 if they are in between health checks and if it has become clinically relevant for a Type 2
Diabetes Risk Evaluation to be conducted.
People aged 45 – 49 years (inclusive) are able to access the once only 45 year old health check (MBS item 717) if
they are at risk of developing a chronic disease. Based on this consultation, if they have a high risk of type 2
diabetes, the GP is able to refer a person to a subsidised lifestyle modification program, along with other possible
strategies to improve the health status of the patient.
A person who has previously accessed an item 717 consultation, can only become eligible for a Type 2 Diabetes
Risk Evaluation when three years have elapsed. A previous Item 713 Type 2 Diabetes Risk Evaluation does not
preclude an eligible person from accessing Item 717 in relation to the risk of developing other chronic illnesses.
For patients with an existing chronic condition, the Chronic Disease Management (CDM) items (721-731) provide a
suite of items for the management and review of chronic conditions. Patients with a care plan for a non-diabetes
condition are able to access the Type 2 Diabetes Risk Evaluation item if they meet the patient eligibility
requirements.
Guidelines
In considering and addressing risk factors, GPs are encouraged to utilise relevant guidelines and resources, such as:
• The RACGP publications: “SNAP – a population health guide to behavioural risk factors in general practice”;
“Putting Prevention into Practice” (the Green Book); and “Guidelines for Preventive Activities in General
Practice” (the Red Book).
The National Health and Medical Research Council’s approved guidelines National Evidence Based Guidelines for
the Management of Type 2 Diabetes Mellitus - Primary Prevention of Type 2 Diabetes.

Further information can be obtained from http://www.health.gov.au/internet/main/publishing.nsf/Content/Diabetes-Risk_Evaluation

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Division Information System

  • Resource developed for Divisions whom wish to implement DIS and link to the national performance indicators (pdf document 3.7 MB)

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Dental -Medicare Item Numbers

Information on the new Medicare Dental items operational from the 1st November 2007 can be obtained form the DoHA web site www.health.gov.au/internet/wcms/publishing.nsf/Content/Dental+Care+Services. GP information available: -

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Drug and Alcohol Withdrawal Protocols

This document has been provided as a resource for use for general practitioners by Dr Rob Weiss.  DNA Withdrawal Protocols  (pdf)

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Enhanced Primary Care

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Email Lists

Instructions on how to subscribe and unsubscribe to the email discussion lists managed by the Division for

  • General practitioners

  • Practice managers

  • Practice nurses

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Epipen

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Exercise

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Fit Kids

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GP Languages

This pdf document list the names of local GPs and the languages other than English that they are proficient in.

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Guidelines

Andrology                                   http://www.andrologyaustralia.org/dbClinicalGuidelines.asp?pageCode=CLINICALGUIDELINES Heart Failure                              http://www.heartfoundation.com.au/index.cfm?page=38
Hypertension                              http://www.heartfoundation.com.au/index.cfm?page=36
Coronary Syndromes                http://www.heartfoundation.com.au/index.cfm?page=35
Lipid management                    http://www.heartfoundation.com.au/index.cfm?page=40
Nutrition                                      http://www.heartfoundation.com.au/index.cfm?page=41
Breast Cancer                           http://www.nbcc.org.au/index.html
Ovarian Cancer                         http://www.ovariancancerprogram.org.au/
Bowel cancer                             http://www.nhmrc.gov.au/publications/synopses/cp63syn.htm
Prostate Cancer                        http://www.nhmrc.gov.au/publications/synopses/cp88syn.htm
Diabetes                                     http://www.nhmrc.gov.au/publications/subjects/diabetes.htm
Stroke                                         http://www.nhmrc.gov.au/publications/synopses/cp105syn.htm|
Lung cancer                               http://www.nhmrc.gov.au/publications/synopses/cp97syn.htm

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Heart Failure

Useful Web links

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Home Medicines Review

  • HMR Process  (PowerPoint)

  • Consumer Brochure available in Arabic, Chinese, Croatian, Dutch, German, Greek, Hungarian, Italian, Macedonian, Maltese, Polish, Russian, Serbian, Spanish, Ukrainian, and Vietnamese

  • Home Medicines Review Templates
    The following templates were developed by the Port Macquarie Division of General Practice, The Central Bayside Division of General Practice and the Pharmacy Guild of Queensland.  Please note opening the template files may destroy the template fields within them, please download and save the files. Then follow the instructions in the attached PowerPoint.

     

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Immunisation

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Intellectual Disability

The new Intellectual Disability Health Assessment (Items 718 and 719) are available for use. The Department of Health and Ageing website has been updated to contain the following information.

  • a Fact Sheet containing important information on the items
  • a Question and Answers information sheet
  • a Consumer Brochure for consumers and carers
  • a Proforma to assist health professionals to complete the health assessment.

Please visit the Department of Health and Ageing's web site.

A Resource Kit will be sent to you by emailing the Department of Health and Ageing: resourcekits@health.gov.au

A Medical Director version  of the template can be downloaded from here. (Thanks to Noel Stewart NEVDGP)

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Indigenous Health

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Information Management / Information Technology

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Mental Health - Chronic Disease Initiative

 
 

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Orthopaedic Outpatients Template

  • Medical Director Template for referral to Peninsula Health Orthopaedic Outpatients
  • Word Document Referral: - Peninsula Health Orthopaedic Outpatients

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National Bowel Cancer Screening Program

  • Template which can be used in Medical Director, Best Practice, ZedMed, and GP Complete. Thanks to NEVDGP.  Template here.

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National Prescribing Service

Useful links

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Non Directive Pregnancy Counselling

3 Medicare rebates per patient per pregnancy if women concerned re current or pregnancy in last 12 months
nNeed to provide unbiased evidence based info on options and services available
nPartners can attend but only one fee applies
nRequires GP registered as having completed training
nGPs can refer to registered psychologists, social workers and mental health nurses, via referral letter (no need for training to refer) Training - Free training to all GPs via gplearning (RACGP)
nItem 4001    Lasts at least 20 minutes   Rebate $66.35 100% rebate + 10990 10991
nFurther information from