Clinical Preferences

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Clinical Preferences

Clinical Preferences and Sessions:

Aug, 2022 to Feb 2023

Please complete the form below to help us organise and review our resource allocation, indicating:

Your regular session requirements
Procedural Requirements

Clinical Preferences and Sessions

Submitting Doctor:

Days/Sessions Working (NB: a 'session' is defined as: AM - 8am-1pm; PM - 1pm-6pm. Start/finish times may vary within that allocation and are at your discretion. Please ALSO include sessions you intend to conduct REMOTELY) - Please check ALL that apply!

MONDAYS (AM)

MONDAYS (PM)

TUESDAYS (AM)

TUESDAYS (PM)

WEDNESDAYS (AM)

WEDNESDAYS (PM)

THURSDAYS (AM)

THURSDAYS (PM)

FRIDAYS (AM)

FRIDAYS (PM)

SATURDAYS (AM)

Cervical Screening Test (CST)

CST - Nurse Required (if available)?

YES - 30 mins

YES - 15 mins

NO - Not required or N/A

Mirena INSERTION

Mirena INSERTION - Nurse Required (NOT including preparation of materials, procedure room, etc.)?

YES - 45 mins

YES - 30 mins

NO - none required or N/A

Mirena REMOVAL

Mirena REMOVAL - Nurse Required (not including preparation of materials, procedure room, etc.)?

YES - 30 mins

YES - 15 mins

NO - not required or N/A

Implanon INSERTION

Implanon INSERTION - Nurse Required?

YES - 30 mins

YES - 15 mins

NO - not required or N/A

Antenetal Shared Care - please tick the hospitals with which you are accredited (if any)?

RPA

RHW

Canterbury

Bankstown

St George

Liverpool

N/A - Not Accredited/Not a provider

Mental Health Care Plan

MHCP - Review (2712)

YES - 30 mins

YES - 15 mins

NO - N/A

MHCP - able to perform as TELEHEALTH?

YES - willing to provide via TELEHEALTH

NO - in person required or N/A

GP Management Plans and/or Team Care Arrangements

GPMP/TCA (732/732)

YES - 45 mins

YES - 30 mins

YES - 15 mins

GPMP/TCA - able to perform remotely (where clinically possible)?

Would you be interested in having a nurse assist with the preparation and/or review of a GPMP/TCA?

Are you happy to take on new patients?

If taking on NEW patients, what conditions do you have?

Thank you for completing this information. We'll update our records accordingly!

Please note: room availability is subject to the number of sessions required per week; priority is given to doctors requiring more sessions per week to avoid movement as much as possible.

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CONTACT

Phone: (02) 9516 2944

Healthlink EDI: churstmp

ADDRESS

280 Church St, Newtown 2042 NSW

HOURS

Mon - Fri: 8:00 am - 6:00 pm
Saturday: 8:00 am - 1:00 pm
Sunday: Closed

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