Fillable Online and initial the following statements: Fax ... 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the patient details, including their full name, date of birth, and contact information. Ensure you select the appropriate level of mental health need.
3. Fill in the GP details section with the full name, organization, and contact information of the referring GP.
4. In the Support Person Details section, provide relevant information about any support person involved in the patient's care.
5. Complete the Assessment section by selecting appropriate outcome tools and entering scores as necessary.
6. Document patient history and status by filling out all relevant fields regarding diagnosis, family history, and mental state examination.
7. Finalize the Mental Health Plan by outlining goals and actions required for treatment.
8. Review all entries for accuracy before signing. Ensure both patient and GP consent sections are completed.
9. Once completed, use our platform's fax feature to send the form directly to SEMPHN Access & Referral at 1300 354 053.

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