REFUGEE NURSES AUSTRALIA (RNA) Interstate Transfer Template For clients from Refugee and Asylum Seeker backgrounds Description Many people from Refugee and Asylum Seeker backgrounds are transitioning between states and territories in Australia. To assist the transition of the more complex clients and provide support we are asking the client’s basic contact details be emailed or faxed to the lead nurses in each state.(details on page 2) The lead nurses will then email the appropriate Refugee Health Nurses depending on suburb of the clients’ future settlement This referral should not include client medical records which will only be forwarded after signed for release of information’ has been received from the new health care ‘consent provider. □ Client contact Please tick following client’s consent to contact details details Last name: First name: Gender: M / F ……………………………………………………...…..…………… Suburb/State moving Number of dependents: to: ………… (please note not street address) Approximate date of arrival: Contact phone number: Explain to the client that a person from a Refugee Health Program will be contacting them assist with accessing health service delivery. Interpreters Please state if a specific interpreter or gender is required. Language: M / F ……………………………………………….……………………………..
REFUGEE NURSES AUSTRALIA (RNA) Interstate Transfer Template For clients from Refugee and Asylum Seeker backgrounds Description Many people from Refugee and Asylum Seeker backgrounds are transitioning between states and territories in Australia. To assist the transition of the more complex clients and provide support we are asking the client’s basic contact details be emailed or faxed to the lead nurses in each state.(details on page 2) The lead nurses will then email the appropriate Refugee Health Nurses depending on suburb of the clients’ future settlement This referral should not include client medical records which will only be forwarded after signed ‘consent for release of information’ has been received from the new health care provider. Client contact details □ Please tick following client’s consent to contact details Last name: First name: ……………………………………………………...…..…………… Gender: M / F Number of dependents: ………… Suburb/State moving to: (please note not street address) Approximate date of arrival: Contact phone number: Explain to the client that a person from a Refugee Health Program will be contacting them assist with accessing health service delivery. Interpreters Please state if a specific interpreter or gender is required. Language: ……………………………………………….…………………………….. M / F
Interstate-Transfer-template_2018-Oct-Refugee-Nurses-Australia.docx