Get Au Eating Disorder Intensive Program For Adolescents Referral Package 2016-2025

This guide provides a clear and supportive approach to filling out the AU Eating Disorder Intensive Program For Adolescents Referral Package online. Follow these detailed instructions to ensure a comprehensive and accurate submission for the referral process.

Follow the steps to complete the referral package effectively.

1. Click the ‘Get Form’ button to access the referral package and open it for online completion.
2. Begin by entering the referrer details. Provide your name, position, phone number, and email address in the specified fields.
3. Fill in the patient details, including their first name, surname, date of birth (DOB), age, gender, home address, home telephone, and mobile telephone. Indicate where the patient is currently located (home, hospital, or other).
4. Specify the primary language spoken at home and provide information about the young person's family and household using the genogram section.
5. For educational and vocational status, indicate whether the patient is enrolled in school or TAFE (Technical and Further Education) and if they are attending. Fill in the school and grade/year information.
6. Complete the parent/guardian details section by providing the names, addresses, occupations, and contact information for each guardian, identifying primary contacts as necessary.
7. List any other services involved in the patient's care, including contact names, positions, phone numbers, and emails.
8. Describe the eating disorder diagnosis and any other co-morbidities. Document the approximate duration of illness and any relevant medical conditions.
9. Record the current physical observations, including date, heart rate (HR), blood pressure (BP), temperature, and any physical symptoms experienced by the patient.
10. Document the patient's growth and development history, including current weight, height, BMI, and any evidence of reduced growth velocity.
11. Provide a comprehensive history and description of the eating disorder’s development, outlining predisposing, precipitating, and maintaining factors.
12. Fill out the eating disorder behavior checklist indicating specific behaviors observed, including restricting, excessive exercising, purging, and any other relevant behaviors.
13. Summarize the current mental state of the patient, including details about eating disorder and comorbid symptoms.
14. Complete the risk assessment summary, marking any relevant concerns such as self-harm, aggression, or domestic violence as applicable.
15. Outline the factors maintaining and protecting the patient's recovery, and document any aims for treatment and specific consultation questions.
16. If referring through the regional and rural outreach program, indicate the relevant elements of the intensive program being considered.
17. Finally, review all information for accuracy, and then proceed to save changes, download, print, or share the form as required.

Complete the AU Eating Disorder Intensive Program For Adolescents Referral Package online today to ensure a timely referral process.