A GP referral is required to see Psychiatrist or A Nurse Practitioner for safety reasons, so we are aware of your history, and this is also a requirement for Medicare rebates.
- GP Name, Practice & Provider Number
- Addressed to: Psychiatrist at Kin Clinic/ Nurse Practitioner at Kin Clinic (you don’t need to specify name of clinician)
- Reason for referral
- Medical conditions (psychiatric and physical diagnoses)
- Current Medication & allergies
- Past Medical History (including cardiovascular, seizures, liver disease, neurological & any other physical condition; any family history of heart disease)
- Any Needs considerations: Intellectual Disability, Deafness, visual impairment.
- Alcohol or Substance use issues known
- Any Current risk issues
- History of risk: month and year of most recent suicide attempt or self-harm episode
- Discharge date of most recent inpatient mental health admission/crises team referral
- Pregnancy / contraception status in women of reproductive age