Get Support Coordination Referral Form - Hunter Primary Care

This guide provides clear, step-by-step instructions on how to successfully complete the Support Coordination Referral Form for Hunter Primary Care online. Following these instructions will ensure that you fill out the form accurately and efficiently.

Follow the steps to complete the online form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in the referral date by entering today's date in the designated field.
3. In the 'Support Details' section, indicate the level of support coordination funded by NDIS, if known. If you selected flexible support, specify the details in the provided space.
4. Enter the total hours of support coordination approved in the appropriate field.
5. Provide patient history by indicating whether a copy of the NDIS plan is included. Enter any relevant past medical history in the 'Patient History' section.
6. Proceed to the 'Participant Details' section. Fill in the surname and first name of the participant, date of birth, gender, NDIS number, and indicate how the participant identifies.
7. Complete the residential address and phone number fields, ensuring to provide both home and mobile numbers.
8. Add alternate contact information including name and phone number, as well as information for the guardian or next of kin.
9. If applicable, complete the GP details section by entering the practice name, GP name, practice street address, contact phone, and email.
10. Finally, indicate how you heard about ChooseABILITY in the specified field.
11. Email the completed referral form along with the NDIS plan to NDIS@hunterprimarycare.com.au. Ensure all information is accurate before sending.

Complete the Support Coordination Referral Form online today to ensure timely processing.