Referral
6. How does Referral link with the Service Coordination Tool Templates?
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Referral is supported by all the Service Coordination Tool Templates:
- Consumer Information Template.
- Consumer Consent Template.
- Consumer Information
Brochure - Your Information - it’s Private’.
- Summary
and Referral Information Template.
- Profiles:
- Living
Arrangements Template.
- Functional
Screen Template.
- Health
Conditions Template.
- Health
Behaviours Template.
- Psychosocial
Profile Template.
 The Consumer Consent Template
To meet privacy consent requirements many agencies use the Consumer Consent
Template and the Your Information – it’s Private Brochure.
The Consumer Consent Template and brochure provides a uniform approach
to obtaining consumer consent for the sharing of consumer information and
meets the requirements of the Victorian Health Records Act 2001. A
copy of the Consumer Consent Template and brochure is set out below and
can be downloaded from http://www.health.vic.gov.au/pcps/publications/index.htm
Please note, your agency may have its own consent forms and/or brochure.
Discuss this with your Supervisor or Manager.
The Consumer Consent Template is used to obtain consent from the consumer
before any disclosure of information for any secondary purpose (such as
a referral) either inside or outside the agency. This list checks that
the consumer’s consent is:
- Informed - what and why.
- Freely given - unconditional right of refusal.
- Specific - as documented.
- Current - will be reviewed and kept up-to-date.
More information about the Consumer Consent Template can be found in the
Service Coordination Tool Templates / Guidelines. A copy of the Guidelines
can be found at http://www.health.vic.gov.au/pcps/publications/index.htm.
 Activity
Complete
the following activity:
Find a copy of the Consumer Consent Template used by your agency,
make sure you know how to fill it in correctly and are familiar with
filing procedures.
Please note, your organisation may also require a separate consumer
consent form for service provision, treatment, payment of fees, transport
etc.
 The Your Information - it’s Private Brochure
The Your Information – it’s Private, brochure, outlines
the consumer’s rights to privacy and access to their information
and should be discussed with consumers. A copy is shown here.
Activity
Complete
the following activity:
Find a copy of the DHS Service Coordination Tool Templates and Guidelines
(if your agency has its own Guidelines find a copy of these) and familiarise
yourself with section 5.2 How to Complete the Consumer Consent Form.
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