Effective from November 2025


Approved by: Manager - Complex and Clinical Care


At a Glance

This form is sent to a Member's General Practitioner (GP) to request a copy of their health summary and medication list and to inform them of what services are in place, what referrals have been made and what assessments have been completed. It also has field to request the GP to speak to the Member about specific issues/referrals and an additional notes section.

Form

FGF_GP_Notification_Form_20251113_fillable.pdf

Definitions

References and Related Documents

Five Good Friends