Community Based Health Services

Contact the Community Health Intake (CHI) line on 6207 9977 to access a wide range of Community Health services 8am-5pm, Monday to Friday.

Fax your Intake and Referral Forms to (02) 6205 2611.

Community Health Intake (CHI)

Information for CHI service users, including eligibility criteria and our referral process.

Community Health Intake referral forms

Download: CHI Patient Information and Referral Form (March 2014) (PDF File - 79k)
CHI Patient Information and Referral Form - eNote (Microsoft Word Document - 96k)
CHI treatment orders (PDF File - 19k)
CHI vision screening referral form (PDF File - 29k)
GP only referral form (PDF File - 17k)
GP only Referral form - eNote (Microsoft Word Document - 64k)
Medical Officer Orders for Medication Administration (PDF File - 29k)
Medical Officer's Orders for Urinary Catheter Management (PDF File - 75k)
Medical Orders Instructions (PDF File - 57k)

Medical records

ACT Health is smoke-free

From 01 May 2009, ACT Health is Smoke free. ACT Health is dedicated to protecting healthcare consumers, visitors and staff from the harmful effects of tobacco smoke. Smoking is not allowed at any ACT Health facility, except in a designated outdoor smoking area.

Contact us

Phone 13 2281
Email HealthACT@act.gov.au