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Page content updated 20/02/2018
ReferralsNon-Gold Coast Health Referrals

Non Gold Coast Health Referrals

Medical Software Referral Templates

The use of templates in general practice has many advantages in assisting with the management of patient care including:
  • They can be completed quickly and easily by auto populating patient information such as name, contact details, medical history, allergies and current medications
  • Prompting for useful information such alternative contact details, completing a treatment plan and setting a review date
  • Ease of sending through secure means such as Medical Objects
  • Assists in meeting medico-legal requirements and best practice by saving the template to the patients clinical file adding to a complete record
  • More efficient and uniform referral process
  • Enhances the quality of patient referrals as the required information can be easily identified
If you need any assistance with these templates, please contact our Administration Officer (Primary Health Care/GPLO) via Phone: 07 5612 5420 or email:

Referral Template Installation Guide

The Referral Template Installation Guide provides useful information about how to download referral templates. There are also instructions on how to install templates when using Medical Director, Best Practice, GP Complete, ZedMed and Genie.

If importing templates into your clinical software do not open them outside of your medical software as this will corrupt the medical software coding. Word and PDF files cannot be imported into medical software.


Medical Software Referral Templates

Please select software that is compatible with your practice.

Some templates are also in Word & PDF Format. These are also included below.

Best Practice Genie GP Complete Medical Director Zedmed


Best Practice


GP Complete

Medical Director


Word, PDF and Other Formats

BreastScreen QLD Practix (11/10/2017)
Child Mental Health Provisional Referral Word Format (08/2017)  
CNAPIS Referral Form Word (07/2015)  |  PDF (07/2015)
GCPHN Persistent Pain Program   Word Format (06/2017) | RTF Format (06/2017) |
PDF Format (06/2017)
  • The RTF version can be imported into medical software, however the fields are free text and will not prepopulate.
GCPHN Psychological Services Program - Referral and Mental Health Treatment Plan  Word Format (08/2017)  
GCPHN Psychological Services Program - Referral and Child Treatment Plan  Word Format (08/2017)  
GCPHN Psychological Services Program - Exceptional Circumstances Referral Form Word Format (12/2017) 
Hepatitis C - Fibroscan Fibroscan Referral Template - v1.2 June 2017(PDF) 
Lady Cilento Children’s Hospital General practitioners, paediatricians and other referrers should use the Specialist Referral Form for all referrals to the Lady Cilento Children’s Hospital.

Lady Cilento Children's Hospital Heads of Clinic list
My Health for Life  PDF Format (01/2018) 
Perinatal Program Provisional Referral Word Format (06/2017) 
Special Needs Library Referral Form - GCCC Gold Coast City Council Special Needs Library Referral Form (10/06/2016)
Health Provider Portal - HPP

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