Care Plan & Referral Template For Individual Allied Health Services Under Medicare Page 3

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Aim for
Check every visit
Blood
GP
BP < ________
Medication review
Every visit
pressure
AEP
Regular aerobic exercise
Improve range of
Structured physical activity
Joint care
GP
motion / function
program & range of motion
3-6 months
AEP
of joints
exercises.
Joint stability & muscle
strengthening
Increase bone
Weight-bearing activity;
Improve
GP
density & prevent
Routine activity;
6-12 months
bone
AEP
fractures
Adequate sun exposure (Vit
health
D)
Able to perform
Graded exercise therapy &
3-6 months
Pain
GP
daily activities
pain management
manage-
AEP
unrestricted by
techniques.
ment
pain
Analgesia (if necessary)
Improving coping
Graded exercise therapy
3-6 months
Depression
GP
mechanisms for
(GET)
&/or
AEP
anxiety &/or
Cognitive behavioural
anxiety
Psychologist
depression;
therapy (CBT)
reduced severity
Medication (if necessary)
of symptoms
Comments:
Proposed Health Providers / Services
CARE CATEGORY
CARE PROVIDER
CONTACT DETAILS
DATE OF CONTACT
GP
Accredited
Exercise
Physiologist

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