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Who We Are
Services
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Resources
- NWRH Referral Form
- News
Contact Us

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- Townsville
- Mount Isa
- Longreach
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Menu

Who We Are
Services
Careers
Our Locations
- Townsville
- Mount Isa
- Longreach
- Normanton
- Doomadgee
- Cloncurry
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Social Responsibility
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- NWRH Referral Form
- News

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Accessing the Help You Need

At NWRH, we offer advice and assistance to help you make the most out of allied health, home and community support services and more. We’ve also compiled a list of self-help resources and other useful information, which you can find below. If you’d like help understanding what support services are available to assist you and your loved ones, please don’t hesitate to get in touch. We service rural, remote and regional Queensland, including Townsville, Mount Isa, Longreach, Normanton, Doomadgee, Cloncurry, Mornington Island and surrounds.

Orange Right Arrow

PLEASE NOTE – IF THIS IS A REFERRAL FOR NDIS SERVICES AND SUPPORTS PLEASE CLICK HERE FOR RELEVANT REFERRAL FORM

NWRH Referral Form

Referral Date:(Required)

MM slash DD slash YYYY

Community to be seen in:(Required)

Medicare Services: Referrals being made under a Medicare Allied Health Initiative, DVA or WorkCover, please attach the relevant Medicare, DVA or WorkCover referral form and a copy of the GP Management Plan, Team Care Arrangements or Mental Health Treatment Plan where relevant.

Aged Care Services: Referrals for Allied Health need to be completed using the referral form on the My Aged Care Website.

SERVICES
East Coast (EC) / Central West (CW) / North West (NW) / Lower Gulf (LG)

SERVICES(Required)

Allied Health Assistant (EC, NW)

Carer Support (EC, NW, CW, LG)

Child & Youth Mental Health (LG, NW)

Community Transport (NW, LG)

Continence Advisor (EC, NW, CW, LG)

Dementia Advisor (NW, LG)

Diabetes Educator (EC)

Dietitian (CW, NW, EC)

Drugs and Alcohol (LG)

Exercise Physiologist (EC, NW, CW, LG)

Family Wellbeing Support (NW, LG)

In-home or Community Support (NW, LG, CW)

Mental Health Nurse (EC)

Occupational Therapist (EC, NW, CW, LG)

Physiotherapist (EC, NW, CW, LG)

Podiatrist (EC, NW, CW, LG)

Psychology (EC, NW, LG)

Social Worker (EC, NW, LG)

Speech Pathologist (EC, NW, CW, LG)

Other

CLIENT DETAILS

Client Full Name(Required)

Gender(Required)

Male

Female

Other

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Ethnicity(Required)

Aboriginal

Torres Strait Islander

Aboriginal and Torres Strait Islander

Australian South Sea Islander

Other

Culturally & Linguistically Diverse (CALD)

Yes

No

DOB(Required)

DD slash MM slash YYYY

Phone(Required)

Mobile

Email

General Practitioner (GP)

(GP) Contact Details

Known Allergies/Alerts

NEXT OF KIN / EMERGENCY CONTACT

Next of Kin Full Name

Relationship

Next of Kin Contact Details

CARER of CLIENT (If applicable)

Carer Full Name

Relationship

Carer Contact Details

REFERRAL SOURCE

Referrer Full Name(Required)

Referrer Contact Details(Required)

REASON FOR REFERRAL

Untitled(Required)

Medical Condition/s(Required)

Medication/s(Required)

CLIENT CONSENT

Consent(Required)

Verbal Consent obtained(Required)

I consent to this referral being made, for the creation and maintenance of a file and for the sharing of my personal information with NWRH and other Health care providers for the purpose of actioning this referral.

Client / Parent / Guardian to sign:

Name:

Date:

MM slash DD slash YYYY

Signature:

Max. file size: 50 MB.

CAPTCHA

Name

This field is for validation purposes and should be left unchanged.

Resources in Your Area

NWRH Publications

Download copies of recent NWRH publications, brochures, reports and notices.

NWRH Annual Report 2022-2023 (PDF)
NWRH Annual Report 2021-2022 (PDF)
NWRH Annual Report 2020-2021 (PDF)
NWRH Annual Report 2019-2020 (PDF)
NWRH Annual Report 2018-2019 (PDF)
NWRH Annual Report 2017-2018 (PDF)
NWRH Annual Report 2016-2017 (PDF)
NWRH Annual Report 2015-2016 (PDF)
NWRH Annual Report 2014-2015 (PDF)
NWRH Privacy & Confidentiality Policy & Procedure 2024 (PDF)
NWRH INNOVATE Reconciliation Action Plan 2019 – 2021 (PDF)
NWRH Service User Guide (PDF)
Guide to Accessing Community Services, In-Home Support, and Aged Care Services through NWRH (PDF)
NWRH Community Services Scope of Practice (PDF)
Guide to Accessing NDIS Support Services through NWRH (PDF)
EASY READ NDIS Supports Guide (PDF)
NWRH Referral Form
NWRH Home Care Packages Service Fee Schedule 2024 (PDF)
NWRH NDIS Referral Form

Useful Links

My Aged Care – https://www.myagedcare.gov.au/
National Disability Insurance Scheme (NDIS) – https://www.ndis.gov.au/
NDIS Pricing Arrangements- https://www.ndis.gov.au/providers/pricing-arrangements#ndis-pricing-arrangements-and-price-limits
National Health Services Directory – https://about.healthdirect.gov.au/nhsd
Find a Doctor – https://healthengine.com.au/
My Health Record – https://www.myhealthrecord.gov.au/

Self Help Resources

Lifeline – https://www.lifeline.org.au/
Sane – https://www.sane.org/
Beyondblue – https://www.beyondblue.org.au/
It’s Alright – https://www.copmi.net.au/kids-young-people/
Kids help Line – https://kidshelpline.com.au/
R U OK? – https://www.ruok.org.au/
Quitline – https://www.health.gov.au/health-topics/smoking-and-tobacco/how-to-quit-smoking?utm_source=quitnow.gov.au&utm_medium=redirect&utm_campaign=digital_transformation
Alcoholics Anonymous – https://www.aa.org.au/
headspace – https://headspace.org.au/
Reach Out – https://au.reachout.com/
Healthdirect – https://www.healthdirect.gov.au/
National Relay Service (for speech or hearing impairment) – https://www.infrastructure.gov.au/media-communications-arts/phone/services-people-disability/accesshub
Queensland Network of Alcohol and other Drug Agencies – https://qnada.org.au/
Black Dog Institute – https://www.blackdoginstitute.org.au/
Queenslanders with Disability Network – https://qdn.org.au/

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Home
Who We Are
Careers
Our Locations
Social Responsibility
Resources
News
Contact Us

Home
Who We Are
Careers
Our Locations
Social Responsibility
Resources
News
Contact Us

Services

Allied Health
Home And Community Supports
Mental Health And Wellbeing
headspace

Allied Health
Home And Community Supports
Mental Health And Wellbeing
headspace

Locations

Townsville
Mount Isa
Longreach
Normanton
Doomadgee
Cloncurry
Mornington Island
Cairns

Townsville
Mount Isa
Longreach
Normanton
Doomadgee
Cloncurry
Mornington Island
Cairns

About Us

Our Directors
Our Team
Employee Stories
Corporate Information

Our Directors
Our Team
Employee Stories
Corporate Information

Contacts

1800 799 244
07 4781 9300
info@nwrh.com.au
261/263 Ross River Rd, Aitkenvale QLD 4814

Find Us On Facebook

www.localsearch.com.au

NDIS Provider: 910015

© 2024 North and West Remote Health. All Rights Reserved

NWRH respectfully acknowledge the Traditional Owners, Elders and Leaders past, present and emerging as Custodians of the lands across which we deliver Health Services

NWRH

Explore

Home
Who We Are
Careers
Our Locations
Social Responsibility
Resources
News
Contact Us

Home
Who We Are
Careers
Our Locations
Social Responsibility
Resources
News
Contact Us

Services

Allied Health
Home And Community Supports
Mental Health And Wellbeing
headspace

Allied Health
Home And Community Supports
Mental Health And Wellbeing
headspace

Locations

Townsville
Mount Isa
Longreach
Normanton
Doomadgee
Cloncurry
Mornington Island
Cairns

Townsville
Mount Isa
Longreach
Normanton
Doomadgee
Cloncurry
Mornington Island
Cairns

About Us

Our Directors
Our Team
Employee Stories
Corporate Information

Our Directors
Our Team
Employee Stories
Corporate Information

Contacts

1800 799 244
07 4781 9300
info@nwrh.com.au
261/263 Ross River Rd, Aitkenvale QLD 4814

Find Us On Facebook

www.localsearch.com.au

NDIS Provider: 910015

© 2024 North and West Remote Health. All Rights Reserved

We acknowledge the Traditional Owners of the lands where we work and live, the people of the nation and pay our respects to Elders past and present.

NWRH Referral Form

Aboriginal and Torres Strait Islander Peoples are warned that the NWRH website may contain images of deceased peoples, NWRH apologises if this has caused any harm or distress.