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BOATING |
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Link to PDF Template |
Department for Planning and Infrastructure - Recreational Skipper's Ticket - Application for Eyesight Test |
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CHILDREN |
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Link to PDF Fact Sheet
Link to PDF Q&A |
Medicare Healthy Kids Check - MBS Items 709 and 711
(Australian Govt Dept of Health and Ageing, July 2008)
Information for GPs & Health Professionals
- Fact Sheet
- Questions & Answers |
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Link to PDF Checklist |
Medicare Healthy Kids Check - MBS Items 709 and 711
(Australian Govt Dept of Health and Ageing, July 2008)
Checklist |
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Link to Get Set 4 Life Guide |
Medicare Healthy Kids Check - MBS Items 709 and 711
(Australian Govt Dept of Health and Ageing, July 2008)
Get Set 4 Life - Habits for Healthy Kids
Guide for Parents and Carers |
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Link to Get Set 4 Life
Fact Sheet |
Medicare Healthy Kids Check - MBS Items 709 and 711
(Australian Govt Dept of Health and Ageing, July 2008)
Get Set 4 Life - Habits for Healthy Kids
Fact Sheet |
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COMMUNICABLE DISEASES |
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Link to PDF Template |
Notification Form
Health Department of WA |
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COMMUNITY PROGRAM FOR OPIOID PHARMACOTHERAPY (C-POP) |
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Link to Website for all
C-POP Forms |
Link to the Health Department's C-POP Forms |
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Link to PDF Template |
Application for Authorisation for Pharmacotherapy Treatment in Excess of the C-POP Policies and Procedures for an Opioid Dependent Person |
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Link to PDF Template |
Notification of Termination of Pharmacotherapy Treatment for an Opioid Dependent Person |
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DIABETES |
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The Australian Type 2 Diabetes Risk Assessment Tool
What is type 2 diabetes?
Risk Factors
What can you do to lower your risk of developing type 2 diabetes |
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Link to PDF Fact Sheet
Link to PDF Q&A |
Type 2 Diabetes Prevention Program - MBS Item No. 713
(Australian Govt Dept of Health and Ageing, July 2008)
Information for GPs and Health Professionals
(To be read prior to completing the above Assessment Tool)
- Type 2 Diabetes Risk Evaluation Fact Sheet
- Type 2 Diabetes Risk Evaluation Questions & Answers |
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Link to Web-site |
My Healthy Balance - A program suitable for adults who are interested in living a healthy lifestyle.
It is a free, session based program that can assist you in making healthy behaviour changes.
Diabetes WA |
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DISABILITY SERVICES |
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Link to PDF Template |
ACROD Parking Permit Application |
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HEALTH DEPARTMENT OF WESTERN AUSTRALIA |
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Patients Assisted Travel Scheme Form |
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Patient Assisted Travel Scheme - Manual 1 January 2008 |
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Application for Patients Assisted Travel Scheme (PATS) Assistance - Section A & B (Medical Practitioner to Complete) |
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Application for Patients Assisted Travel Scheme (PATS) Assistance - Section D (Patient to Complete) |
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Application for Patients Assisted Travel Scheme (PATS) Assistance - Section E (PATS to Complete) |
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HEARING |
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Link to PDF Template |
Application for a Hearing Services Voucher |
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Link to PDF Template |
Hearing Services Program - Information Booklet |
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Link to PDF Template |
Rehabitiliation and Hearing Devices - Information Booklet |
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IMMUNISATION - Please also see Member Services > Immunisation |
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HPV Register - Form for GP Registration |
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Microsoft Word
Document |
HPV Register - Form for Vaccine Notification |
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HPV Register - Patient Brochure |
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Link to PDF Template |
Immunisation Exemption - Medical Contraindication Form
Australian Government, Medicare Australia - Australian Childhood Immuisation Register |
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Paediatric Influenza Immunisation Initial Order Form |
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Paediatric Influenza Immunisation Re-Order Form |
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Report of Suspected Adverse Reaction to Vaccines
Communicable Disease Control Directorate, WA Department of Health |
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Vaccination for Health Care Workers |
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Link to PDF Template |
Vaccine Information for Parents |
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Microsoft Word Template |
Vaccine Order Form - Narrogin Hospital (March 2010) |
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Microsoft Word Template |
Vaccine (Panvax) Order Form - Narrogin Hospital (March 2010) |
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Western Australian Vaccination Schedule (1 January 2010) |
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Cold chain wastage report update Dec 07.doc |
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INDIGENOUS HEALTH |
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Indigenous A3 Poster - Are You Aboriginal Torres Stait Islander Origin? |
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Indigenous General |
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Indigenous Health |
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LIFESCRIPTS |
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Link to Web-site |
Lifescripts - Please click on the Link to Web-site for the AGPN's Resource Library of Lifescripts Templates |
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Link to Web-site |
Pregnancy Lifescripts - Please click on the Link to Web-site for the AGPN's Resource Library of Lifescripts Templates |
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MEDICALERT |
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Link to PDF Template |
MedicAlert Application Form |
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Link to Website |
Emergency ID Australia |
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MEDICATION AND DRUGS |
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Microsoft Word Document |
Application to Prescribe a Drug of Addiction, Poisons Act 1964 |
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Link to PDF Template |
Category A Form - Special Access Scheme
Australian Government, Dept of Health and Ageing - Therapeutic Goods Administration |
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Notification of Addiction to Drugs, Drugs of Addiction Notification Regulations 1980 |
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MENTAL HEALTH |
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Link to PDF Template |
Bipolar Disorder - Self Assessment of Possible Bipolar Disorder (Clinician Version) |
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Link to Online Questionnaire |
Bipolar Disorder - Online Self Assessment Test |
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Link to Online Questionnaire |
CRUfAD K10 Test - Online from the Clinical Research Unit for Anxiety and Depression at the University of New South Wales |
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Edinburgh Postnatal Depression Scale |
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Microsoft Word Document |
GP Mental Health Care Plan (MBS Item 2710) - Assessment Form |
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NATIONAL PRESCRIBING SERVICE |
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Link to Web-site |
NPS Web-site - Link to Resources for Patients (Including Patient Leaflets and Action Plans) |
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Q FEVER |
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Link to PDF Document |
Australian Q Fever Register - Fact Sheet |
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Link to PDF Template |
Australian Q Fever Register - Personal Details and Consent Form |
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Link to PDF Template |
Australian Q Fever Register - Pre-screening and Vaccination Form |
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Link to PDF Template |
Australian Q Fever Register - Employee Questionnaire |
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SEXUAL HEALTH |
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Link to Web-site |
FPWA Sexual Health Services - (Formerly Family Planning WA) - Sexual Health Helpline
Specialist service - Sexual Health Helpline. This service is offered to any health professional that would like to discuss person-to-person over the phone any sexual and reproductive health issues. |
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TAXI SERVICES |
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Link to PDF Template |
Application for Taxi Users' Subsidy Scheme (TUSS) |
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TRANSLATING AND INTERPRETING SERVICE (TIS) |
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Link to Immigration Web-site |
Select this link to view all TIS application forms |
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Link to PDF Template |
Request for Pre-Booked Telephone Interpreter |
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Link to PDF Template |
Request for On-site Interpreting |