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Enhanced Primary Care (EPC) Program Referral form for individual Allied Health Services under Medicare To be completed by referring GP: Please tick: PatienthasGPManagementPlan item721orreviewitem725 ANDTeamCareArrangements item723orreviewitem727) GPhascontributedtoorreviewedamultidisciplinarycareplanpreparedbythepatientsagedcarefacility item731) Note:.

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