Get Epc Form

The Enhanced Primary Care (EPC) Program referral form is an essential document for accessing individual allied health services under Medicare. This guide will walk you through each section of the form to ensure accurate completion when filling it out online.

Follow the steps to successfully complete the Epc Form online.

1. Press the ‘Get Form’ button to obtain the form and access it in your chosen online editor.
2. Begin by filling in the GP details section. Provide the GP's provider number, name, address, and postcode.
3. Next, input the patient's details. Include the Medicare number, patient reference number, first name, surname, address, and postcode.
4. In the 'Allied Health Professional (AHP) patient referred to' section, specify the name or type of AHP the patient is being referred to, such as 'EBR Physio.' Also, include the AHP's address and postcode.
5. Proceed to the referral details section. Indicate the number of allied health services required by entering the number in the ‘No. of services’ column next to the relevant AHP type and item number. Make sure to use a separate copy of the referral form for each type of service.
6. Once all sections are filled out, provide the referring general practitioner's signature and the date signed.
7. After completing the form, make sure to save your changes, then download or print the form for distribution as needed.

Complete your documents online today for a seamless process.