Statewide Referral Form and other resources

Statewide Referral Form - Revised
The new up-to-date Victorian Statewide Referral Form (VSRF) is now accessible by clicking on the link below. Please note, that the template is in 'rtf' format and requires to be saved as an 'rtf' file only for it to work in Medical Director. To do this please follow instructions below. In addition we have included links to download two examples of the same form in 'word' format - one copy with blank fields and the second with sample data included.

Instructions: Upon downloading file, please hold cursor over the link, right click on mouse and click on 'Save Target As...'. This will allow you to save the template as an 'rtf' file. The file name extension will be listed within the bottom tab area of the 'Save As' window.

  • Please right click here to download the 'rtf' file. (19kb) Save as an 'rtf' file only to use in Medical Director.

The following documents are Word sample files which will give you an outcome to how the 'rtf' file shall look upon completion in Medical Director.

  • Please click here to download the Sample Fields 'Word' file. (36kb)
  • Please click here to download the Sample Data 'Word' file. (36kb)

Guide to Generating Victorian Statewide Referral Forms - revised 2006

VSRF Instructions
This is a brief guide to the use of the Victorian Statewide Referral Form (version 4) as implemented in Medical Director. The purpose of this template to provide a standardised mechanism for referral from General Practice to State funded Health Providers. The format and content is somewhat different to a routine General Practitioner’s referral letter but with minimal effort transfer of relevant, information is easily produced. General Practitioners are encouraged to use this template as a replacement for the multitude of service specific referral forms.

  • Please click here for the Word version of instructions in brief. (839kb)
  • Please click here for the PDF version of instructions in full. Coming soon.
  • Please click here for the HTML version of instructions in full. Coming soon.

Submission to Victorian DHS - PCPs strategic directions 2004-06 - Implementation Plan for PCPs (consultation paper)
This submission was developed following consultation with Victorian divisions.

Click here to access this submission located on the Policy section of this website.

GPDV's submission to DHS policy framework - Community Health Services - Creating a Healthier Victoria (public consultation draft) 
This submission was developed following consultation with Victorian divisions.

Click here to access this submission located on the Policy section of this website.

Statewide Referral Form in GP Software - Updates
To support the coordination of services between GPs and community-based services, a statewide referral form (based on the Service Coordination Tools) has been included in six GP clinical software applications.

Click here to download the update (Feb 04).  (169KB)

Click here to download the update (Nov 03).  (206KB)

Victorian Statewide Referral Form GP Referral Form - Medical Director template

Click here to download the Victorian Statewide Referral Form. (47KB)
Click here to downlod the Patient Consent Form - Medical Director template Patient Consent Form. (24KB)

GPDV Primary Care Program Update (Oct 2003)

Click here to access the information to divisions about final MD templates for GP Referral Form.

DHS Small Grants for GP participation in service coordination - 2003
 List of successful projects.

Click here to donwlond project lists.  (10KB) 

PCP Best Practice Forum - 17 February 2003
Concurrent sessions - proposed program.

Click here to download the Draft Program.  (17KB)