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Psychiatrist Form

DVA Referral Form (D0904 0425)

A downloadable Psychiatrist form for healthcare professionals.
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About this form

Used by psychiatrists, GPs, nurses, social workers, and allied health professionals to refer Department of Veterans’ Affairs clients for treatment or allied health services. It captures patient details, accepted disabilities, and clinical information to ensure appropriate and approved care under DVA funding. Heidi automatically pre-fills the form using information discussed during the consultation, streamlining referrals and reducing administrative work.

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How to use this form

1

Download the PDF

Click the download button to save the form to your device

2

Print or fill digitally

Print the form for handwritten use or fill it out using a PDF editor

3

Use in your practice

Integrate the completed form into your patient records and workflows

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Specialty

Psychiatrist

Downloads

19 times

Type

Form

Last edited

12/11/2025

Created by

Jane Jones

Heidi AI

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