Coordinated veterans care program 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the Gold Card Holder's DVA File Number and Date of Birth in the Contact Information section. Select the appropriate title and provide the full name.
  3. In the Community Nurse Details, input the Provider Organisation, Community Nurse's full name, and contact numbers including telephone and fax.
  4. For GP Details, enter the GP's full name.
  5. In the Nursing Treatment/Care Plan section, list personal actions and goals agreed upon by the entitled person. Use additional space if necessary.
  6. Indicate whether psychosocial support is required by selecting 'Yes' or 'No'.
  7. Complete sections on Chronic Disease management, Vital signs monitoring, Blood glucose monitoring, Medication Monitoring, and Carer Support as applicable.
  8. Fill in review dates for upcoming assessments and note any clinical care changes during this period.
  9. Provide any additional information or feedback for the GP before signing with your printed name.

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