Clinician Education Series
Clinic Nineteen is proud to deliver training to health care professions. For further information, click here.
Long COVID referrals - for clinicians
Scope of practice
Clinic Nineteen long COVID specialists will see any adult or paediatric patient suffering from ongoing symptoms following acute COVID infection. We are currently focusing on long COVID only, so unfortunately cannot support ME/CSF patients at this stage.
We welcome indefinite referrals
Referral content
Click here to use our GP referral templates
Please include;
- Medical and social history
- Medicine and allergy list
- Date of COVID results
- Predominant long COVID symptoms
- Pathology, imaging and functional studies relevant to current issues
Recommended investigations
Pathology: FBC/UE/LFT/CRP/ESR/TFT/Iron studies/Vit D/Morning cortisol
Cardiology: Halter monitor, ABPM, Echocardiogram
Respiratory: Respiratory Function Test with DLCBo
Referral pathways
Fax 03 4059 1919
Fillable Referral Forms
Instructions for downloading the PDF referral
- In order for the PDFs to remain writable please access them via Google Chrome or Adobe Acrobat
- Click 'Download'
- Select a location on hard drive (which you can find later, such as the desktop) and save.
- Fill in the referral form digitally and save.
- Email the referral to us by clicking here
Word doc format also available for use
GP Software Referral Templates
Best Practice
- Download the RTF document
- Open a New Letter and from Templates menu select Import Template (if you can't see this, review your permissions)
- Locate downloaded file and open
- From File menu select Save as. Type an appropriate Template name and click on Save.
ZedMed
- Download the RTF document
- Click on Tools > Clinical WP Setup > WP Templates
- File > Import Template
- Find the file where you saved it and highlight it and then click Open
- Enter the template name into the Description. Click on OK.
Medical Director
- Download the RTF document
- Open Medical Director and then LetterWriter
- File menu > Select Modify Template > Select Black template
- File > Select Import - locate downloaded file and click on Open
- File > Select Save as template - type in an appropriate name and click on Save
GPReferral_ClinicNineteen (rtf)
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