Useful Forms

  • Referral Form (Can be printed, faxed or scanned)

    Refer patients directly into Remedy Programs. Download our referral form here, fill it in and return via fax or email.

    Download Form

  • Referral Form (can be completed on screen and emailed)

    Refer patients directly into Remedy Programs. Download our editable referral form, fill it in on your smart device or PC and click submit. The completed form will be sent via your email client.

    Download Form

  • Eligible Health Funds

    Remedy Home Healthcare programs are offered by 34 Private Health Insurance funds. Download an up-to-date list of participating funds here.

    Download List

  • Client Consent Form

    Our clients should sign and return this form to Remedy Healthcare when consenting to participate in a Home Healthcare program or service.

    Download Form

  • Medication Administration Chart

    This medication chart should be completed by the client’s healthcare professional.

    Download Form

  • Discharge Checklists

    Download our handy checklists to help make the referral process more simple.

    Download Form

  • Discharge Checklists Queensland

    Download our handy checklists to help make the referral process more simple.

    Download Form

  • Catheter Management

    Medical letter of Authority – Catheter management

    Download Form

Online Referral Form

This web form is for Medical Professionals to refer patients into Remedy Healthcare programs, once they have discussed admission with their patients.

Please have your patient sign this consent form and attach it to this referral.

You can also call 1300 734 224 and one of our care coordination team will take your referral over the phone.

Call us on 1300 224 334