Basic Team Care Arrangement Notes

Patient’s Name: [Enter the patient’s full legal name as recorded in medical records.] "I have explained the steps and costs involved, and the patient has agreed to proceed with the service." [Include statement only if patient agreed, do not include if the patient refused to proceed based on transcript, context, clinical notes] GP Name and Date [Enter the general practitioner’s full name and the date the service was agreed upon.] COORDINATION OF TEAM CARE ARRANGEMENTS (ITEM 723) Treatment and service goals for the patient / changes to be achieved [Describe the expected treatment and care goals for the patient. Include objectives related to symptom control, functional improvement, mental health stability, or lifestyle changes. The description should be in full sentences and clearly outline both short-term and long-term goals. Only include the relevant goals applicable to this patient’s care.] Treatment and services that collaborating providers will provide to the patient [List all healthcare providers involved in the patient’s care and specify their contributions. This should include details about the specific treatments, interventions, or services each provider will offer, such as physical therapy, dietary counseling, psychological support, or medication management. Each service should be listed separately, specifying the provider responsible.] Actions to be taken by the patient [Describe the responsibilities of the patient in managing their condition. This should include adherence to prescribed treatments, participation in therapy sessions, lifestyle modifications, medication compliance, and any other patient-specific responsibilities. This section should be formatted as a structured list or in full sentences, depending on the details provided.] Copy of TCAs offered to patient? [Enter "Yes" if a copy was provided to the patient; otherwise, enter "No." and state reason based on transcript, context, clinical notes] Copy / relevant parts of the TCAs supplied to other collaborating providers? [Enter "Yes" if copies were sent to relevant healthcare providers; otherwise, enter "No" and state reason based on transcript, context, clinical notes or "Not Required."] TCAs added to the patient’s records? [Enter "Yes" if the TCA was recorded in the patient’s file; otherwise, enter "No." and state reason based on transcript, context, clinical notes] Referral forms for Medicare allied health services completed? [Enter "Yes" if applicable referral forms were completed; otherwise, enter "No." and state reason based on transcript, context, clinical notes] Review date for TCA: [Enter the scheduled review date for the TCA in DD/MM/YYYY format. The recommended timeframe is six months from the service date unless otherwise specified.] (Never come up with your own patient details, assessment, plan, interventions, evaluation, and plan for continuing care - use only the transcript, contextual notes, or clinical note as a reference for the information to include in your note. If any information related to a placeholder has not been explicitly mentioned in the transcript, contextual notes, or clinical note, you must not state that the information has not been explicitly mentioned in your output, just leave the relevant placeholder or omit the placeholder completely. Use as many lines, paragraphs, or bullet points, depending on the format, as needed to capture all the relevant information from the transcript.)