REFERRAL FORM

If you are a health professional and wish to refer a client to Dietwise, please fill in the online form below

1. REFERRAL DETAILS

2. PATIENT DETAILS

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3. REFERRAL INFORMATION

Does this patient need to be seen within 7 days?

Reason for referral:

4. MEDICARE

Does this patient have a plan under Medicare?

5. CONSENT TO REFERRAL

to refer and provide personal information to Dietwise for further assessment

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When to Refer a Patient

Published by Dietitians Australia

Nutrition intervention by Accredited Practising Dietitians (APDs) can considerably improve patient outcomes. This poster lists 36 conditions/diagnoses, indications for referral and patient health benefits seen when an APD is involved in nutritional management of their condition.

An eating disorder treatment and management plan (EDP) is needed for those eligible to access the eating disorder-specific MBS items. This plan is developed by a GP or medical practitioner (items 90250-90257), consultant psychiatrist (items 90260-90262) or consultant paediatrician (items 90261-90263). See the MBS Quick Reference Guide for more information. 

InsideOut Institute for Eating Disorders has developed an EDP template in .rtf file which can be download here

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