Book patient appointments through the Women's Outpatient services using one of the Fast Fax referral forms on this page. The forms are only for the use of GPs. Details of outpatient appointments will be sent directly to the patient and a confirmatory letter sent to the GP.
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*** Please see General Services and GP Information in the Clinical Services Directory.
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Referral forms and templates
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| Medical Director template (if available)
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| Genie template (if available)
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| download the Medical Imaging Request form (pdf, 76kb)
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|  | | download the Pregnancy Outpatient Fast Fax form Pregnancy Outpatient Fast Fax Referral form (word 488kb)
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| Right click to download the Pregnancy Medical Director template
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| Right click to download the Pregnancy Genie template (4W7 file in a zip archive 5kb)
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| download the Women’s Health/Gynaecology Outpatient Fast Fax Referral form (word 488kb)
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| Right click to download the Women’s Health/Gynaecology Medical Director template (rtf 27kb)
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| Right click to download the Women’s Health/Gynaecology Genie template (4W7 file in a zip archive 5kb)
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Instructions for downloading and importing the templates
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Genie
| Downloading the template
| | Right click on the link below and select Save Target As, and save it to your desktop.
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| | The file is zipped (compressed) and needs to be unzipped, double click the zip folder and select extract, choose your desktop and click extract.
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| | Save the target on your desktop again and save the template (.4WT) in an appropriate folder on the hard drive.
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| Importing the template
| | Open Genie and go to a Patient File.
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| | Open a new Template by clicking on the Create or print a merged letter template (Shift-Ctrl-T) button.
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| | In the Letter Templates dialogue box click on Add Template - this creates a new blank template.
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| | Select File, Open and select the template from where you saved it.
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| | Select Open. The template should appear.
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| | Enter a name for the template.This is entered in the Title text box at the top of the window - by default it contains "Untitled".
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| | Click on the Save changes to template button.
On the Confirm dialogue box - click on Save
Close the 4D Write Area by clicking on Close
When you select Save, the current patient details should be imported.
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| Medical Director
| The templates are in the form of a .rtf (Rich Text File) file. They must not be opened except in Medical Director.
| Downloading the template
| | Right click on the link below and select Save Target As.
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| | Select a location on hard drive (which you can find later) and save.
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| Importing the template
| | Open Medical Director and then Letter Writer.
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| | File menu > Select Modify Template > Select Blank template
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| | File > Select Import - locate downloadable file and click Open
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| | File > Select Save as template - type in appropriate name and click Save
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