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Integrated Team Care
Client Referral and Consent Form
The Integrated Team Care Program, which incorporates the Care Coordination and Supplementary
Services, is for Aboriginal and/or Torres Strait
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How to fill out integrated team care client
How to fill out integrated team care client
01
To fill out an integrated team care client, follow the steps below:
1. Start by gathering all the necessary information about the client, such as their personal details, medical history, and current health status.
02
Ensure you have the appropriate forms or documents provided by the integrated team care program.
03
Begin by completing the client's personal information section, which may include their full name, date of birth, address, and contact details.
04
Provide any relevant medical history, including previous diagnoses, current medications, and known allergies.
05
Indicate the client's current health status, including any existing conditions or ongoing treatments.
06
Fill in the details of the client's primary care provider or healthcare team, including their name, contact information, and any associated medical practices.
07
Provide any additional notes or comments that may be relevant to the client's care or treatment.
08
Review the completed form for any errors or missing information before submitting it to the integrated team care program.
09
Make a copy of the filled-out form for your own records.
10
Submit the completed integrated team care client form as instructed by the program.
Who needs integrated team care client?
01
Integrated team care clients are individuals who require coordinated healthcare services from multiple healthcare professionals.
02
Typically, these clients have complex medical conditions or chronic illnesses that require ongoing management and collaboration between healthcare providers.
03
Integrated team care clients may include patients with diabetes, cardiovascular diseases, respiratory conditions, mental health disorders, or those with multiple comorbidities.
04
The program is designed to support individuals who would benefit from a comprehensive and coordinated approach to their healthcare.
05
It is typically recommended for individuals with high healthcare needs and those requiring frequent interactions with different healthcare providers.
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