Links and Forms
This list of useful forms commonly used in primary care has been compiled to assist medical practitioners in their day to day duties.
Disclaimer: Sydney North Health Network cannot guarantee the currency of any forms listed, nor can they be responsible for their accuracy or usage.
Links
Accreditation
- RACGP Standards 5th Edition
Allergy
- Anaphylaxis Action Plan (Epipen)
- Anaphylaxis ActUseion Plan (Anapen)
- Medicalert Foundation
- Important Article to teach caregivers how to recognise and treat allergic reactions
- NSW Department of Education and Communities Website on allergic reaction management
- Allergic Rhinitis Treatments Chart
Cancer
- Cancer Australia Check Your Cancer Risk Tool
- Self-collected HPV Test
- National Bowel Cancer Screening Sitemap and Resources
Cardiovascular
- Holter Monitor
- Dobutamine Stress Patient Resource
- Coronary Angiogram Patient Resource
Atrial Fibrillation
- Atrial Fibrillation Fact Sheet
Cardio-vascular Risk Tools
- Australian Absolute Cardiovascular Risk Calculator
- CHA2DS2-VASc Score
- Guidelines for prevention of endocarditis
- HAS-BLED Score for major bleeding
- Heart Failure Classification
- Heart Foundation Action Plan
- Managing Blood Pressure
- Measuring Your Blood Pressure at Home
- Preventing Infections of the heart (NPS Guideline)
- QT Nomogram
- Wells Criteria for DVT
- Your Heart Forecast
Dermatology
- Psoriasis Area Severity Index (PASI)
- Eczema Action Plan
- Fingertip Units ( How Much do I use?)
- Ferriman-Gallwey scoring for hirsutism
Drug and Alcohol
Alcohol
- Alcohol Use Calculator
- Alcohol Screen Audit Tool
- Alcohol guidelines: Reducing health risk
Codeine
- Tips on Talking with patients with codeine dependence
- New rules for codeine dependence (patient information)
De-Prescribing
- Further Resource Patient Information de-Prescribing PPI
- Patient Information de-Prescribing PPI
- Patient Information Resource de-Prescribing anti-psychotics
- Patient Information Resource de-Prescribing Benzodiazepines
General
- WHO, Self-help strategies for cutting down or stopping substance use: A Guide
- Guide to Benzodiazepine withdrawal
Smoking
Ear, Nose and Throat
Emergency and Disaster Management
- Emergency Department: a Clinician’s Guide to My Health Record
- RACGP Disasters and Emergencies in General Practice
- Emergency Care Acute Pain Management Manual
- Community Trauma Toolkit
Gastrointestinal
- Bristol Stool Chart
- GORD Symptomatic Treatment Plan and Step-down plan
Geriatrics
- Northern Beaches Seniors Directory
- The Advance Project – Resources
- Hip Disability and Osteoarthritis Outcome Score (HOOS)
- Hospital Admission Risk Profile Calculator (HARP)
- Knee Injury and Osteoarthritis Outcome Score
- Patient Activation Measure (PAM)
- The Frail Scale
- NSW Health Advance Care Directive
- Respecting Patient Choices
- Mini Mental State Examination
- Montreal Cognitive Assessment (MOCA)
- Appointing an Enduring Guardian
- Appointing a Power of Attorney
- Capacity and Dementia Guide
- Telstra Priority Assistance Form
- NSW Government Energy Rebate Form
- Abbey Pain Scale
- Myagedcare
- My Aged Care You Tube Referral Videos
- Severe Behaviour ResponseTeams Information
- Flow Chart Referral Process for Aged Care Services North Sydney Health District
- RACGP Standards for Patient Centred Medical- Home
- RACGP Silver Book Medical Care of Older persons in Residential Aged Care
- Dementia Resource Sheets
- Pain Management Strategies Guide in Residential Aged Care Facilities
- Cornell Scale for Depression in Dementia
- Continence Aids Payment Scheme Application Form
- Appropriate Use of Antibiotics in ACF’s (UTI’s)
- Guiding Principles for the Care of Older Adults with Multimorbidity Pocket Card
- isolve Falls Prevention Resources
- Canadian de-prescribing Resources
- RUDAS Test
- Berg Balance Test (YouTube)
- Berg Balance Scale
- Timed Up and Go Test
- The 30 second chair to stand test
- The 6 minute walk test
- Stepping On referral form (free falls prevention program)
Security Systems
Products
- Brightsky
- Compression stockings (Total Compression Solutions)
- Compression foot sleves (FS6)
- Skin Protection Systems
Haematology
- Preoperative haemoglobin assessment and optimisation template
Health Services Directory
- National Health Services Directory
Health Screening
- Preventative Activities ( Adult and Children ) RACGP Red Book Chart
- Patient Activation Measures
- Hospital Admission Risk Profile Calculator (HARP)
Infectious Diseases
- Infectious Disease Fact Sheets
- Infectious Diseases Exclusion Tool
- Infectious Disease Control Guidelines: Common Colds Fact Sheet
- Antibiotic Resistance information for patients
- Antibiotics Resistance –The Facts
- Infectious Diseases Guidelines
- Disease Notification (NSW) RACGP Managing Pandemic Influenza in General Practice
- Chlamydia Fact Sheet
- STI Testing Tool
- General Practitioners and Hepatitis C
- Hepatitis C Treatment Summary Chart
- Novel coronavirus information
Immunisation
- Influenza Vaccination Program 2019
- Influenza Vaccination in pregnancy
- Questions about vaccinations booklet
- Gardasil – 9 Factsheet Resources
- Immunisation Catch up Calculator
- Australian Immunisation Handbook 10th
- Pneumovax Guidelines
- NSW Schools Vaccination Program
- NSW Immunisation Schedule
- Myths and Realities
- NCIRS Fact Sheets
- NSW Health Information for Immunisation Providers
- RTI’s Symptom Management Plan (NPS)
Lifestyle
- Healthy Living Network
- Restless Legs Syndrome Rating Scale
- Fatigue Information Prescription (NPS)
Mental health
- Head to Health Resources
- Bipolar Self Test
- Psychological Distress (Kessler)
- Australian Psychological Association Tip Sheets
- Generalised Anxiety Disorder Scale-7
- Patient Health Questionnaire (PHQ-9)
- Anti-Psychotic Monitoring Tool
Depression
- DASS 21
- Edinburgh Post-natal Depression Scale
Medical Calculators
Medication
- Consumer Medicine Information
- Therapeutic Guidelines Online
- Medicalert Application Form
- Opioid Dose Equivalence Chart
- Opioid Risk Tool
- Complementary Drugs Interaction Guide
- Hepatitis C Treatment Summary Chart
- Chronic non-cancer pain management plan
- Antibiotic Resistance –The Facts
- Polypharmacy Guidance
- My Pain Management Plan (NPS)
Musculoskeletal
Neurology
- Headache Diary (NPS)
- Pain Diary (NPS)
- Stroke Risk Test Tool
- Head Injury Advice (Adults)
- Head Injury Advice (Children)
- Restless Legs Syndrome: International Rating Scale
- NSW Online Mandatory Reporting Guideline
- Tresillian Referral
Nutrition
- Mini Nutritional Assessment MNA
- Low Salt Diet
- Lactose Intolerance Fact Sheet
- Salt Facts
- Cholesterol in Food
- Gout Diet
- Osteoporosis Australia Calcium Fact Sheet
- Managing iron deficiency Fact Sheet
- Fact Sheet Iron
- Food Variety Fact Sheet
- B12 Fact Sheet
- Iodine Fact Sheet
- Fatigue and Nutrition Fact Sheet
- Recovery Nutrition after Exercise Fact Sheet
- Food Labels
- Food Labels What do They Mean
Obstetrics and Gynaecology
- Menopause Monitoring Tool
- Hormone Replacement Therapy Chart
- Antenatal Care Clinical Practice Guidelines (2018)
- Neonatal eHandbook
- National Cervical Cancer Screening Program Resources
- National Cervical Cancer Screening Reference Guide
Paediatrics
Palliative Care
- NSW Health Advance Care Directive
- NSW Ambulance Adult Authorised General Care Plan
- NSW Ambulance Adult Authorised Palliative Care Plan
- NSW Government Terminal Illness Cannabis Scheme
- Residential Aged Care Palliative Care Guidelines
- Resources for Chronic Pain
- Supportive and Palliative Care Indicators Tool (SPICT)
- Opioid Risk Assessment Tool (ACI)
Pathology
- RCPA Manual
Preventative Medicine
Psychiatry
- GP Psychiatry Support Line ( 1800 161 718)
- NDIS Pathway and Resources
Radiology
- Clinical Guides for MRI Referral
Renal
- International Prostate Symptom Score
- Chronic Kidney Disease Handbook
Respiratory
- Inhalers Instructional Videos
- Asthma & COPD Medication Chart
- CURB- 65 Pneumonia Severity Index
Asthma
Home Oxygen
- Department Veterans Affairs Home Oxygen Therapy Request Form
- Oxygen Choice
COPD
Sexual Hhealth
Sleep Disorders
- Insomnia Management Kit
- STOP BANG Questionnaire
- Epworth Sleepiness Scale
- Mallampati Classification
- Sleep Diary
- Pittsburgh Sleep Quality Index
- Restless Legs Syndrome Rating Scale
- Sleep Healthy Using the Internet: Shut i me
Travel Health
- Malaria Country by Country
- Yellow Fever Guide
- Dubai-restricted drugs
- Center for Disease Control (CDC) Traveller’s Health Guide
- World Health Organisation Traveller’s Health Guide
- Yellow Fever Risk Countries
- Yellow Fever Maps and Graphics
- Mosquito Avoidance Measures
- Health Information for International Travellers (The Yellow Book)
- WHO Disease Outbreak News
Commonwealth Forms
Department of Health and Ageing
- TGA Reporting Adverse Events
- Release of Superannuation on Medical Grounds
- Category B Special Access Form
- Data Breach Response Resources
Department of Veterans Affairs
- DVA Health Treatment Card Summary
- DVA Dose Administration Service
- Fact Sheet DVA Rehabilitation and Appliance Program
- RAP Mobility & Functional Support Products DVA
- DVA Director Order Form Incontinence Form
- DVA Claim for Travelling Expenses D800
- Coordinated Veterans’ Care Program
- DVA Rehabilitation Appliances Program (RAP) Product Catalogue
- Direct Order Form RAP Mobility & Functional Support Products
- Veteran Health Check – FAQ for GPs
- Veteran Health Check – FAQ for veterans
- Veteran Health Check flyer for veterans
Veterans Fee Schedule
Medicare
- Organ Donation Registration Form
- MBS Desktop guide
- Medicare Useful Contacts
My Health Record
- Australian Digital Health Agency-get started
- Uploading Shared Health Summary
- Uploading an Event Summary
- My Health Record Training Resources
- Data Breach Response Resources
NSW Forms
Motor Accident Authority
NSW Transport
NSW Ministry of Health
- Application for Authority to Prescribe a Schedule S8 for Pain Management
- Application for Authority to Prescribe a Schedule S8-Alprazalom
- Application for Authority to Prescribe a Schedule S8-Psychostimulant
- Legal Requirements for Authority to Prescribe Drug of Addiction (NSW)
- Housing NSW Housing Pathways Medical Assessment Form
- Clinical Information Access Portal (CIAP)
- Attending Practitioner’s Cremation Certificate
- Energy Rebate Form
Patient Decision-Making
RMS Forms
- Mobility Parking Scheme Application Form