Table 2B.

Extract from a generic care plan template [55].

PREPARATION OF A GP MANAGEMENT PLAN (ITEM 721)
Patient’s health problems/health needs/relevant conditions	Management goals with which the patient agrees	Treatment and services required, including actions to be taken by the patient	Arrangements for providing treatment/services (when, who, contact details)
Copy of GPMP offered to patient? YES/NO
Copy/relevant parts of the GPMP supplied to other providers? YES/NO/NOT REQUIRED
GPMP added to the patient’s records? YES/NO
Review date for this plan: dd/mm/yy
The referral form issued by the Department can be found at www.health.gov.au/mbsprimarycareitems or a form can be used that contains all of the components of the Department’s form.

GP, general practitioner; GPMP, General Practice Management Plan.