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General Practitioner Form

DVA Referral Form

A downloadable General Practitioner form for healthcare professionals.
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Specialty

General Practitioner

Downloads

11 times

Type

Form

Last edited

7/24/2026

Created by

Heidi Team

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About this form

Maximise patient care with the DVA Referral Form, essential for streamlining the referral process to general practitioners. This form is required when initiating referrals for patients seeking specialised treatment, ensuring clear communication between healthcare providers. It captures vital patient details, clinical evidence, and consent information, creating a structured submission that enhances completeness and clarity. Selecting this form helps reduce delays and supports timely patient management.

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Frequently asked questions

What is the purpose of the DVA Referral Form PDF?

The purpose of the DVA Referral Form PDF is for treating providers in Australia to refer Department of Veterans' Affairs clients directly for treatment services. This referral form is used by General Practitioners to refer veterans, war widows/widowers, and eligible dependants to other providers, such as specialists or allied health professionals, when prior approval from the DVA is not required. The form ensures clear communication and captures essential patient, clinical, and consent details to facilitate structured and timely referrals.

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Who uses the DVA Referral Form PDF?

You use the DVA Referral Form PDF when you are the referring provider, such as a General Practitioner or specialist, treating a DVA client in Australia. You complete the form to refer your patient to a specialist or an allied health provider for treatment that does not require prior DVA approval. The allied health provider who receives the referral retains it for their records and for potential DVA audits. This process is essential for managing your patient's care under the DVA framework.

What is included in a DVA Referral Form PDF?

A DVA Referral Form PDF includes patient identification, referral details, clinical information, and referring provider details.

  • Referral type: specialist (gold) or allied health (white)
  • Patient details: surname, given names, DVA file number, date of birth, address, and contact information
  • DVA card type and a list of accepted disabilities
  • Referral recipient details: name, address, contact information, and provider number
  • Condition to be treated
  • Residential aged care facility status, if applicable
  • Clinical details: recent illnesses, injuries, and current medications
  • Period of referral, which must comply with treatment cycle rules for allied health
  • Referring provider details: name, provider number, practice information, signature, and date

Common Problems of Completing DVA Referral Form PDFs

Patient Eligibility Is Not Always Clear

Verifying a patient's DVA card type and specific accepted disabilities is a critical first step. For white card holders, treatment is only covered for their accepted disabilities. Treating a condition that is not on this accepted list can expose your practice to unrecovered costs, as the DVA will not accept responsibility for the expense. This verification process adds an administrative layer before the clinical referral can even be written.

The Correct Form for Prior Approval Conditions

Knowing whether a specific condition requires prior approval from the DVA is a common point of confusion. This DVA referral form is only for direct referrals. If the patient's condition is one that needs prior DVA approval, a different form (Form D1328) must be used. Using the wrong form can result in referral rejection and treatment delays, creating frustration for both you and your patient while you correct the administrative error.

Allied Health Treatment Cycle Rules

For allied health referrals, you must correctly apply the DVA's Treatment Cycle rules. This framework limits referrals to a maximum of 12 sessions or one year, whichever comes first. At the end of a cycle, the patient must return to their GP for a new referral to continue treatment. Incorrectly documenting the referral period or not managing the cycle's end can interrupt patient care and create compliance issues.

Benefits of Using Heidi to Auto-Fill DVA Referral Form PDFs

Patient DVA Details Populated From the Record

You need the patient’s DVA file number, card type, and list of accepted disabilities to complete the referral correctly. Instead of searching the chart, Heidi pulls this information from the structured patient profile and surfaces it directly on the form. This gives you the key eligibility information upfront, saving you from administrative work and reducing the risk of treating a non-accepted condition.

Clinical Justification Drafted From the Session

Writing out the clinical details, including recent illnesses, injuries, and current medications, takes time away from your next patient. Heidi transcribes your conversation from the visit and uses it to draft the clinical details section for you. This provides a strong starting point for your review, ensuring the justification for referral is clear and detailed without you having to re-document it from scratch.

Your Provider and Practice Details Filled In

Every form requires your provider number, practice name, address, and contact details. Typing this information repeatedly is a small but constant friction. Heidi pre-populates all of your referring provider details from your user profile, so you are not entering the same information over and over. You review the completed form and sign, confident that all required fields are accurately filled.

How to use this form

1

Auto-fill with Heidi

Click "Auto-fill Form with Heidi" to open the form in Heidi and complete the fields straight from your note, no copying and pasting.

2

Review and edit

Check the pre-filled details and make any changes before finalising the form.

3

Download or save

Download the completed form or save it directly into your patient records and workflows.

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