NB: Clients who are likely to experience an adverse outcome such as an infection,

pressure injury, fall, functional or health decline, deformity or lacking social

support will be at high risk and will be seen as a high priority.

For OT referral, please be specific. AT, provide exmaples if known. HM, either Minor or Major with details if known.

For other referral, please also be specific – e.g., supplement, swallowing issue, toenails cut / orthopaedic footwears … etc.

(Examples include physical, mental health conditions or behavioural concerns, and/or social risks, smoker, has a dog or gun / weapon)

Recent GP Health Summary Letter / Hospital Discharge Report / Previous Allied Health Reports